Management of cesarean delivery in a parturient with sickle cell disease

被引:3
作者
Romano, D. [1 ]
Craig, H. [1 ]
Katz, D. [1 ]
机构
[1] Icahn Sch Med Mt Sinai, Dept Anesthesiol Perioperat & Pain Med, New York, NY 10029 USA
关键词
Sickle cell anemia; Cell salvage; Cesarean delivery; Hyperhemolysis syndrome; Pregnancy; HYPERHEMOLYSIS SYNDROME; PATIENT; HYPERHAEMOLYSIS; ANEMIA;
D O I
10.1016/j.ijoa.2019.09.001
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Chronic hemolysis and intermittent vaso-occlusion in sickle cell disease can lead to recurrent blood transfusions with related complications such as antibody formation and rarely, life-threatening reactions. We report a case of a parturient who presented with complications of sickle cell disease and who later had fetal compromise that required an emergent cesarean delivery. Complex management decisions were made, aided by technologies such as rotational thromboelastometry, quantitative blood loss analysis and cell salvage. (C) 2019 Elsevier Ltd. All rights reserved.
引用
收藏
页码:104 / 107
页数:4
相关论文
共 21 条
[1]  
AABB, 2013, STAND PER AUT BLOOD
[2]  
[Anonymous], 2019, INT J OBSTET ANESTH
[3]   Hyperhaemolysis syndrome treated with corticosteroids and darbopoietin in a patient with mantle cell lymphoma [J].
Babb, A. ;
Diamantos, N. ;
Sekhar, M. .
TRANSFUSION MEDICINE, 2012, 22 (02) :142-144
[4]   A life-threatening episode of treatment-resistant haemolysis in a pregnant patient with dyserythropoietic anaemia (CDA) type I [J].
Bank, I. ;
Ermens, A. A. M. ;
van der Linden, J. M. ;
Brand, A. .
TRANSFUSION MEDICINE, 2012, 22 (02) :145-147
[5]  
Chestnut D.H., 2014, Chestnut's Obstetric Anesthesia Principles and Practice
[6]   INTRAOPERATIVE AUTOTRANSFUSION FOR A PATIENT WITH HOMOZYGOUS SICKLE-CELL DISEASE [J].
COOK, A ;
HANOWELL, LH .
ANESTHESIOLOGY, 1990, 73 (01) :177-179
[7]   Hyperhemolysis syndrome in anemia of chronic disease [J].
Darabi, K ;
Dzik, S .
TRANSFUSION, 2005, 45 (12) :1930-1933
[8]  
Eberly LA, 2015, CASE REP HEMATOL, V2015, P1
[9]   Care bundles for management of obstetrical hemorrhage [J].
Fleischer, Adiel ;
Meirowitz, Natalie .
SEMINARS IN PERINATOLOGY, 2016, 40 (02) :99-108
[10]   AUTOLOGOUS BLOOD-TRANSFUSION AND INTRAOPERATIVE CELL SALVAGE IN A PATIENT WITH HOMOZYGOUS SICKLE-CELL DISEASE [J].
FOX, JS ;
AMARANATH, L ;
HOELTGE, GA ;
ANDRISH, JT .
CLEVELAND CLINIC JOURNAL OF MEDICINE, 1994, 61 (02) :137-140