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CASE REPORT
Year : 2014  |  Volume : 58  |  Issue : 3  |  Page : 319-322

Perioperative considerations in a sickle cell patient undergoing cardiopulmonary bypass


1 Department of Cardiac Anaesthesia, BLK Hospital, New Delhi, India
2 Department of Cardiac Surgery, BLK Hospital, New Delhi, India

Correspondence Address:
Dr. Monish S Raut
SGRH, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.135047

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An 11-year-old child, a known case of sickle cell anaemia with a history suggestive of sickling crisis in the past was scheduled for surgical pulmonary valvotomy. Pre-operative blood transfusion and hydroxyurea were administered. Pre-operative blood transfusion is indicated in sickle cell disease patients to raise the haematocrit level and lower sickle haemoglobin (HbS) levels. Before the start of cardiopulmonary bypass (CPB), exchange transfusion was performed to reduce HbS level and raise adult haemoglobin level. Hypothermia was prevented by employing normothermic CPB.


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