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
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.
引用
收藏
页数:5
相关论文
共 47 条
[21]   Platelet Values Regarding Maternal-Fetal Outcomes In Hemolysis, Elevated Liver Enzymes, Low Platelets (HELLP) Syndrome [J].
Ozkaya, Okan ;
Sezik, Mekin ;
Sezik, Hulya Toyran ;
Yapar, Elif Gul ;
Kaya, Hakan .
JOURNAL OF THE TURKISH-GERMAN GYNECOLOGICAL ASSOCIATION, 2006, 7 (01) :34-38
[22]   The spectrum of severe preeclampsia: Comparative analysis by HELLP (hemolysis, elevated liver enzyme levels, and low platelet count) syndrome classification [J].
Martin, JN ;
Rinehart, BK ;
May, WL ;
Magann, EF ;
Terrone, DA ;
Blake, PG .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1999, 180 (06) :1373-1382
[23]   Prevalence of Hemolysis, Elevated Liver Enzymes, Low Platelet Count Syndrome in Pregnant Women in a Tertiary Care Hospital [J].
Sitaula, Sarita ;
Manandhar, Tara ;
Thapa, Baburam Dixit ;
Shrestha, Ramesh ;
Dharel, Dinesh .
JOURNAL OF NEPAL MEDICAL ASSOCIATION, 2020, 58 (226) :405-408
[24]   Investigating hemolysis, elevated liver enzymes and low platelet count in preeclampsia: A case-control study in Ghana [J].
Akilla, Martin Awe ;
Awinibuno, Ignatius Abowini ;
Banyeh, Moses Nchor ;
Mayeem, Benjamin N. ;
Kwofie, Gabriel Sakyi ;
Adoko, Stephen ;
Nukpezah, Ruth Nimota ;
Kolekang, Augusta S. ;
Dagungong, Clement Binwatin ;
Amidu, Nafiu .
HEALTH SCIENCE REPORTS, 2024, 7 (08)
[25]   Acute onset of severe hemolysis, elevated liver enzymes, and low platelet count syndrome in a patient with a partial hydatidiform mole at 17 weeks gestation [J].
Sherer, DM ;
Dalloul, M ;
Stimphil, R ;
Hellmann, M ;
Khoury-Collado, F ;
Osho, J ;
Fomitcheva, L ;
Brennan, KJ ;
Abulafia, O .
AMERICAN JOURNAL OF PERINATOLOGY, 2006, 23 (03) :163-166
[26]   Is the presence of antiphospholipid antibodies a poor prognostic factor for patients with hemolysis, elevated liver enzymes, and low platelet count syndrome? [J].
Pecourt, Mathilde ;
Yelnik, Cecile ;
Ghesquiere, Louise ;
Drumez, Elodie ;
Cailliau, Emeline ;
Hachulla, Eric ;
Debarge, Veronique ;
Morel, Nathalie ;
Le Guern, Veronique ;
Garabedian, Charles ;
Costedoat-Chalumeau, Nathalie ;
Lambert, Marc .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2021, 225 (04) :432.e1-432.e7
[27]   Bilateral Exudative Retinal Detachment Complicating Preeclampsia With Partial Hemolysis, Elevated Liver Enzymes, and Low Platelet Count Syndrome [J].
Zebbache, Mamoun Hani .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2021, 13 (09)
[28]   Severe, early-onset hemolysis, elevated liver enzymes, and low platelet (HELLP) syndrome episode with spontaneous remission during pregnancy [J].
Merz, Waltraut M. ;
Gembruch, Ulrich .
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2007, 20 (08) :631-632
[29]   Clinical features of hemolysis, elevated liver enzymes, and low platelet count syndrome in undiagnosed Wilson disease: report of two cases [J].
Anna Członkowska ;
Grażyna Gromadzka ;
Janine Büttner ;
Grzegorz Chabik .
Archives of Gynecology and Obstetrics, 2010, 281 :129-134
[30]   Human Serum Complement C3 and Factor H in the Syndrome of Hemolysis, Elevated Liver Enzymes, and Low Platelet Count [J].
Ari, Elif ;
Yilmaz, Yusuf ;
Gul, Ahmet ;
Alahdab, Yesim Ozen ;
Kedrah, Alla Eldeen ;
Macunluoglu, Beyza ;
Aydin, Atakan ;
Arikan, Hakki ;
Ozener, Cetin .
AMERICAN JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 2009, 62 (04) :238-242