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.
引用
收藏
页数：5
相关论文
共 47 条
[31]   Clinical features of hemolysis, elevated liver enzymes, and low platelet count syndrome in undiagnosed Wilson disease: report of two cases [J].
Czlonkowska, Anna ;
Gromadzka, Grazyna ;
Buettner, Janine ;
Chabik, Grzegorz .
ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 2010, 281 (01) :129-134
[32]   Lipid hydroperoxides and free radical scavenging enzyme activities in preeclampsia and HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome: No evidence for circulating primary products of lipid peroxidation [J].
Diedrich, F ;
Renner, A ;
Rath, W ;
Kuhn, W ;
Wieland, E .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2001, 185 (01) :166-172
[33]   Investigation of diagnosis and treatment of hemolysis-elevated liver enzymes-low platelet counts (HELLP) syndrome: clinical analysis of 59 cases [J].
Wang Yong-qing ;
Wang Jing ;
Ye Rong-hua ;
Zhao Yang-yu .
CHINESE MEDICAL JOURNAL, 2010, 123 (10) :1273-1277
[34]   Incongruence of Hemolysis, Elevated Liver Enzyme, Low-Platelet Count Syndrome (HELLP) and Preeclampsia Criteria in Pregnancy: Implications for Medical Education and Obstetrics Training [J].
Jenkins, Jacob ;
Ferozuddin, Aleena A. ;
Mourad, Jad ;
Abdulla, Zayna Z. ;
Oviedo, Angelica .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2024, 16 (08)
[35]   Gestational Diabetes Mellitus Complicated by Hemolysis, Elevated Liver Enzymes, and Low Platelet Count After Decreased Need for Insulin: 2 Cases [J].
Kawarai, Yoshimasa ;
Kaneko, Shogo ;
Kagimoto, Masataka ;
Kaneko, Ayaka ;
Ichii, Naoki ;
Kakinuma, Kaoru ;
Saito, Koyomi ;
Ihara, Motomasa ;
Kakinuma, Toshiyuki ;
Ohwada, Michitaka ;
Tanaka, Hirokazu .
AMERICAN JOURNAL OF CASE REPORTS, 2021, 22
[36]   Do clinical and laboratory parameters effect maternal and fetal outcomes in pregnancies complicated with hemolysis, elevated liver enzymes, and low platelet count syndrome? [J].
Bezircioglu, Incim ;
Baloglu, Ali ;
Cetinkaya, Burcu ;
Pirim, Betul .
JOURNAL OF THE TURKISH-GERMAN GYNECOLOGICAL ASSOCIATION, 2012, 13 (01) :1-7
[37]   Acute subdural haemorrhage in the postpartum period as a rare manifestation of possible HELLP (haemolysis, elevated liver enzymes, and low-platelet count) syndrome: A case report [J].
Patabendige M. .
BMC Research Notes, 7 (1)
[38]   Hemolysis, Elevated Liver Enzymes and Low Platelets (HELLP) Syndrome and Metastatic Breast Cancer: A Rare Overlap in a Postpartum Patient With Disseminated Intravascular Coagulation and Refractory Thrombocytopenia [J].
Mesa, Elvis ;
Miles, Dylan ;
Araguez-Ancares, Nayle ;
Casadesus, Damian .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (07)
[39]   Hypertension, Anxiety, and Blood-Brain Barrier Permeability Are Increased in Postpartum Severe Preeclampsia/Hemolysis, Elevated Liver Enzymes, and Low Platelet Count Syndrome Rats [J].
Wallace, Kedra ;
Bean, Cynthia ;
Bowles, Teylor ;
Spencer, Shauna-Kay ;
Randle, Wisdom ;
Kyle, Patrick B. ;
Shaffery, James .
HYPERTENSION, 2018, 72 (04) :946-954
[40]   Liver Transplantation for Hemolysis, Elevated Liver Enzymes, and Low Platelet Count Syndrome: A Propensity-score Matched Long-term Survival of the Scientific Registry of Transplant Recipients Dataset [J].
Qian, Y. ;
Dong, Y. ;
Mei, S. ;
Xiang, J. ;
Li, Z. ;
Zhou, J. .
TRANSPLANTATION PROCEEDINGS, 2019, 51 (03) :805-812
12345