General Anesthesia for Cesarean Section of a Parturient with Aplastic Anemia Refractory to Platelet Transfusion.
- Author:
Han Sook LEE
1
;
Hae Jin LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Catholic University of Korea, Seoul, Korea. lehaji@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
aplastic anemia;
cesarean section;
general anesthesia;
platelet refractoriness;
thrombocytopenia
- MeSH:
Anemia, Aplastic*;
Anesthesia, General*;
Blood Platelets*;
Bone Marrow;
Cesarean Section*;
Female;
Hemorrhage;
Humans;
Mortality;
Pancytopenia;
Platelet Transfusion*;
Pregnancy;
Pregnant Women;
Sepsis;
Thrombocytopenia
- From:Anesthesia and Pain Medicine
2007;2(4):242-245
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aplastic anemia is pancytopenia with bone marrow hypocellularity. The major risks to the pregnant women with aplastic anemia are hemorrhage and infection. Mortality during or after pregnancy is very high, especially thrombocytopenia complicated by platelet refractoriness, due to bleeding and sepsis. There is no therapeutic guideline for aplastic anemia with platelet refractoriness about cesarean section. A multidisciplinary approach to patients with aplastic anemia refractory to platelet transfusion is essential. Close consultation among the hematologist, anesthesiologist and obstetrician, and a management plan are important. We report the successful management of such a patient during cesarean section under general anesthesia.
