Clinical Experience of Coagulation Management in Multiple Myeloma Patient with Thrombocytopenia Using Thromboelastography: A case report.
10.4097/kjae.1999.36.2.335
- Author:
Yoon Ki LEE
1
;
Eun Sung KIM
;
Jong Ho CHOI
;
Byung Sam KIM
Author Information
1. Department of Anesthesiology, Catholic University Medical College, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Anesthesia, general;
Blood, multiple myeloma, thrombocytopenia;
Monitoring, coagulation, thromboelastography
- MeSH:
Anesthesia, General;
Bone Marrow;
Hemorrhage;
Humans;
Immunoglobulins;
Meningioma;
Multiple Myeloma*;
Pancytopenia;
Plasma Cells;
Thrombelastography*;
Thrombocytopenia*
- From:Korean Journal of Anesthesiology
1999;36(2):335-339
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Multiple myeloma is malignant proliferation of plasma cells whose pathologic condition is produced by bone marrow invasion as well as excessive production of immunoglobulin. Its invasion into bone marrow causes severe pancytopenia. Therefore these patients are susceptible to thrombocytopenia and have bleeding tendency, especially during surgery. We experienced an anesthetic management of meningioma operation in a patient with multiple myeloma who showed severe thrombocytopenia and excessive abonormal immunoglobulin.
