Ciddi anemik herediter sferositoz vakasına acil anestezik yaklaşım (Olgu sunumu)
Bu çalışmada preoperatif ciddi anemisi (Hb değeri 3.8 gr.dl-1) bulunan ve acil şartlarda splenektomi ve ooferektomi operasyonu için genel anestezi uygulanan bir olgu sunuldu. Tanısı herediter sferositoz ve Thalessemia minör olan bu olgu allo ve oto antikorları nedeniyle transfüzyon açısından yüksek risk taşımakta idi. Bu olgu sunusunda kronik anemide acil şartlarda uygulanan anestezi ve transfüzyon yaklaşımı tartışılmıştır.
Emergency anesthesiological approach in a severely anemic hereditary spherocytosis case
We presented an emergency case of severe preoparative anemia (Hb value 3.8 gr.dl<sup>-1</sup>) undergoing splenectomy and ooferectomy procedure under general anesthesia. Hematologic diagnosis of the case was hereditary spherocytosis and thalessemia minor and the patient was at high risk for transfusion reaction due to allo and oto antibodies. In this case report, general anesthetic approach in chronic anemia and transfusion policy has been emphasized.
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- 1. Beutler E. Disorders of hemoglobin. İn; Fuçi AS, Braunwald E, Wilson JD, Martin JP, Longo DL (eds) Harrison's Principles of Internal Medicine, US McGraw Hill Companies 1998; 645-653.
- 2. Kevy SV. Redcell transfusion. In: Nathan DG, Oski FA (eds) Hematology and Child Health, Pennsylvania, WB. Saunders Company, 1993; 1769-1780.
- 3. Tunalı A. Kan Hastalıkları, (eds) Bayındır Ü, Demiroğlu C, Dinç İ. İç Hastalıkları, Bursa, Taş Kitapçılık ve Yayıncılık 1990: 728-743.
- 4. Hanig GR. Hemoglobin disorders. In: Nelson WE, Berhman RE, Kliegrnan RM, Arvin AM (eds) Nelson's Text Book Of Pediatrics, Pennsylvania, WB Saunders Company 1996; 1396-1404.
- 5. Chen AY, Carson JL. Perioperative management of anaemia. Br J Anaesth 1998; 81 (Suppl I): 20-4.
- 6. Roizen MF. Anesthetic implications of concurrent diseases. In: Cucchiara RF, Miller RD, Reves JG, Roizen MF, Savarese JJ (eds) Anesthesia, New York, Churchill Livingstone 1994; 903-1015.
- 7. Simon TL. Redcell transfusion. In: Rossi EC, Simon TL, Moss GS (eds) Principles of Transfusion Medicine. Maryland U.S. Williams & Wilkins 1991; 95-98.
- 8. Varat MA. Adolf RJ. Fowler NO. Cardiovascular effects of anemia Am Heart j 1972,83-415-7.
- 9. Sendak Mj. Monitoring and management of perioperative fluid and electrolyte therapy In. Rogers MC, Tniker JH, Covino BG (eds). Principles And Practice Of Anesthesiology. Mosby Year Book, St Louis.1993;863-966.
- 10. Morgan GE, Mikhail MS. Anaesthesia for orthopedic surgery. Clinical Anaesthesiology. Stenfort, Appleton and Lange, 1996; 674-682.
- 11. Dewhiist WE, Glass DD. Hematological diseases. In: Katz J, Benumof JL, Kadis LB (eds) Anesthesia and Uncommon Diseases, Philadelphia, WB Saunders Company 1990; 378-436.
- 12. Morgan GE, Mikhail MS. Nonvolatile anesthetic agents. Clinical Anesthesiology. Stenfort, Appleton and Lange, 1996; 128-149.
- 13. Goodnough LT, Brecher ME, Kanter MH, AuBuehon JP. Trasfusion medicine first of two parts blood trasfusion. N Engl J Med 1999; 340; 438-47.
- 14. Miller RD. Transfusion therapy. In: Cucchiara RF, Miller RD, Reves JG, Doizen MF. Savarese JJ (eds) Anesthesia, New York, Churchill Livingstone 1994; 1619-1646.
- 15. Canatan D, Uysal Z, Kemahlı S, Akar N, Cin Ş. Herediter sferositoz (22 olguda klinik özellikler, komplikasyonlar ve tedavi) Ankara Univ J Fac Med 1993; 46: 101-8.
- 16. Arcasoy A, Çavdar AO, Babacan E, Gözdaşoğlu S, Gürpınar F. Herediter sferositoz. Ankara Univ J Fac Med 1979; 1: 69-78.