Anesthetic and Postoperative Intensive Care for Patient with Systemic Lupus Erythematosis and Antiphospholipid Syndrome: A Case Report.
10.4266/kjccm.2008.23.1.36
- Author:
Sung Wook PARK
1
;
Yong Il KIM
;
Keon Sik KIM
;
Moo Il KWON
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Kyung Hee University, Seoul, Korea. keonsik@hanafos.com
- Publication Type:Case Report
- Keywords:
Antiphospholipid antibody;
Antiphospholipid syndrome;
Hypercoagulability;
Systemic lupus erythematosis
- MeSH:
Adult;
Antibodies, Antiphospholipid;
Antiphospholipid Syndrome;
Autoimmune Diseases;
Cystectomy;
Dehydration;
Female;
Humans;
Hypothermia;
Critical Care;
Molecular Weight;
Perioperative Period;
Pregnancy;
Thrombophilia;
Thrombosis;
Warfarin
- From:The Korean Journal of Critical Care Medicine
2008;23(1):36-39
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The antiphospholipid syndrome (APS) is characterized by vascular thrombosis despite of prolongation of coagulation profile in laboratory findings and pregnancy morbidity in the presence of antiphospholipid antibody. It occurs primarily or secondarily to autoimmune disease. This case report concerns a pelviscopic left ovarian cystectomy in a 32-year-old female with APS and systemic lupus erythematosis. To manage the hypercoagulability, oral warfarin and low molecular weight haparin were given pre- and postoperatively. In perioperative period, we monitored activated clotting time to prevent intraoperative thrombosis and tried to avoid dehydration, hypothermia and infection.
