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
[41]   Incidence and risk factors for severe preeclampsia, hemolysis, elevated liver enzymes, and low platelet count syndrome, and eclampsia at preterm and term gestation: a population-based study [J].
Lisonkova, Sarka ;
Bone, Jeffrey N. ;
Muraca, Giulia M. ;
Razaz, Neda ;
Wang, Li Qing ;
Sabr, Yasser ;
Boutin, Amelie ;
Mayer, Chantal ;
Joseph, K. S. .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2021, 225 (05) :538.e1-538.e19
[42]   A 5-Year Clinical Experience of Haemolysis, Elevated Liver Enzymes and Low Platelet Count (HELLP) Syndrome at a Tertiary Care Teaching Hospital in North Karnataka - A Retrospective Analysis [J].
Biradar, Aruna Mallangouda ;
Yaliwal, Rajasri G. ;
Kori, Shreedevi Somashekar ;
Gamini, B. S. ;
Pujeri, Shivakumar U. .
JOURNAL OF EVOLUTION OF MEDICAL AND DENTAL SCIENCES-JEMDS, 2020, 9 (40) :2938-2941
[43]   Combined Immature Platelet Fraction and Schistocyte Count to Differentiate Pregnancy-Associated Thrombotic Thrombocytopenic Purpura from Severe Preeclampsia/Haemolysis, Elevated Liver Enzymes, and Low Platelet Syndrome (SPE/HELLP) [J].
El-Gamal, Rasha A. ;
Mekawy, Mohamed A. ;
Abd Elkader, Ayman M. ;
Abdelbary, Haitham M. ;
Fayek, Mary Z. .
INDIAN JOURNAL OF HEMATOLOGY AND BLOOD TRANSFUSION, 2020, 36 (02) :316-323
[44]   Delayed hemolysis, elevated liver enzymes, low platelet count syndrome in succession of switches of preventive anticoagulant treatment in a 41-year-old patient with a history of recurrent assisted implantation failures: a case report [J].
Katrin Mikolaiczik ;
Marc Praetner ;
Michael Rüth ;
Karlheinz Mark .
Journal of Medical Case Reports, 13
[45]   Delayed hemolysis, elevated liver enzymes, low platelet count syndrome in succession of switches of preventive anticoagulant treatment in a 41-year-old patient with a history of recurrent assisted implantation failures: a case report [J].
Mikolaiczik, Katrin ;
Praetner, Marc ;
Rueth, Michael ;
Mark, Karlheinz .
JOURNAL OF MEDICAL CASE REPORTS, 2019, 13 (01)
[46]   An Unusual Medicolegal Case of 32-Year-Old Mother and Her 29-Week Fetus With Hemolysis, Elevated Liver Enzymes, and Low Platelet Count Syndrome Case Report and Short Literature Review [J].
Szeremeta, Michal ;
Drobuliakova, Petra ;
Przepiesc, Jerzy ;
Zaluski, Janusz ;
Sackiewicz, Adam ;
Niemcunowicz-Janica, Anna .
AMERICAN JOURNAL OF FORENSIC MEDICINE AND PATHOLOGY, 2017, 38 (03) :269-271
[47]   Association of increased serum heat shock protein 70 and C-reactive protein concentrations and decreased serum α2-HS glycoprotein concentration with the syndrome of hemolysis, elevated liver enzymes, and low platelet count [J].
Molvarec, Attila ;
Prohaszka, Zoltan ;
Nagy, Balint ;
Kalabay, Laszlo ;
Szalay, Janos ;
Fust, Georg ;
Karadi, Istvan ;
Rigo, Janos, Jr. .
JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 2007, 73 (02) :172-179
12345