Anesthetic Management in a Post-COVID Hemolysis, Elevated Liver Enzymes, and Low Platelet Count (HELLP) Patient in Rural Central India: A Close Shave

被引：0
作者：
Bhardwaj, Yatharth [1 ]
Chakole, Vivek [1 ]
Singam, Amol [1 ]
Madaan, Sparsh [2 ]
机构：
[1] Datta Meghe Inst Med Sci Deemed Univ, Jawaharlal Nehru Med Coll, Dept Anesthesia, Wardha, India
[2] Datta Meghe Inst Med Sci Deemed Univ, Jawaharlal Nehru Med Coll, Dept Obstet & Gynecol, Wardha, India
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2022年 / 14卷 / 04期
关键词：
maternal health; scoline; ketamine; general anesthesia; hellp syndrome;
D O I：
10.7759/cureus.24196
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is a dangerous complication of pregnancy amounting to significant mortality and morbidity. While conducting a cesarean delivery for such cases special care and consideration have to be taken in order to prevent maternal mortality. Thrombocytopenia is a significant abnormality that has to be weighed before induction in cases of HELLP syndrome with no clear cut-off value for the administration of neuraxial anesthesia. This case report aimed to explain the anesthetic management of a case with an indication for an emergency cesarean delivery.
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页数：5
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共 47 条
[11]   Risk factors for adverse maternal outcomes among women with HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome [J].
Haddad, B ;
Barton, JR ;
Livingston, JC ;
Chahine, R ;
Sibai, BM .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2000, 183 (02) :444-448
[12]   MATERNAL HEMOLYSIS, ELEVATED LIVER-ENZYMES, LOW PLATELET COUNT, AND NEONATAL OUTCOME [J].
HARMS, K ;
RATH, W ;
HERTING, E ;
KUHN, W .
AMERICAN JOURNAL OF PERINATOLOGY, 1995, 12 (01) :1-6
[13]   HEPATIC HISTOPATHOLOGIC CONDITION DOES NOT CORRELATE WITH LABORATORY ABNORMALITIES IN HELLP SYNDROME (HEMOLYSIS, ELEVATED LIVER-ENZYMES, AND LOW PLATELET COUNT) [J].
BARTON, JR ;
RIELY, CA ;
ADAMEC, TA ;
SHANKLIN, DR ;
KHOURY, AD ;
SIBAI, BM .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1992, 167 (06) :1538-1543
[14]   THE INTRAPARTUM PLATELET COUNT IN PATIENTS WITH HELLP (HEMOLYSIS, ELEVATED LIVER-ENZYMES, AND LOW PLATELETS) SYNDROME - IS IT PREDICTIVE OF LATER HEMORRHAGIC COMPLICATIONS [J].
ROBERTS, WE ;
PERRY, KG ;
WOODS, JB ;
FILES, JC ;
BLAKE, PG ;
MARTIN, JN .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1994, 171 (03) :799-804
[15]   Maternal benefit of corticosteroid therapy in patients with HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome: Impact on the rate of regional anesthesia [J].
O'Brien, JM ;
Shumate, SA ;
Satchwell, SL ;
Milligan, DA ;
Barton, JR .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2002, 186 (03) :475-479
[16]   Complement activation and regulation in preeclampsia and hemolysis, elevated liver enzymes, and low platelet count syndrome [J].
Burwick, Richard M. ;
Feinberg, Bruce B. .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2022, 226 (02) :S1059-S1070
[17]   Spontaneous hepatic rupture caused by hemolysis, elevated liver enzymes, and low platelet count syndrome [J].
You, Je Sung ;
Chung, Yong Eun ;
Chung, Hyun Soo ;
Joo, Youngseon ;
Chung, Sung Phil ;
Lee, Hahn Shick .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2014, 32 (06) :686.e3-686.e4
[18]   The Conservative Management of an Uncommon Case of Postpartum HELLP (Hemolysis, Elevated Liver Enzymes, and Low Platelet Count) Syndrome Complicated by Liver Hematoma Causing Gastric Outlet Obstruction: A Case Report [J].
Garrote, Fabio R. ;
Perez-Viloria, Miguel E. ;
Caltagirone, Charles ;
De La Cuesta, Carolina .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (10)
[19]   Neonatal outcome in severe preeclampsia at 24 to 36 weeks' gestation: Does the HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome matter? [J].
Abramovici, D ;
Friedman, SA ;
Mercer, BM ;
Audibert, F ;
Kao, L ;
Sibai, BM .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1999, 180 (01) :221-225
[20]   Pregnancy and Hemolysis, Elevated Liver Enzymes and Low Platelet Count Syndrome in Patients With Eisenmenger's Syndrome [J].
Wang, Hong ;
Liu, Tao .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 2013, 346 (05) :385-389
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