Indian Journal of Anaesthesia

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

Perioperative considerations in a sickle cell patient undergoing cardiopulmonary bypass


Monish S Raut1, Jasbir Singh Khanuja1, Sushant Srivastava2 
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

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.


How to cite this article:
Raut MS, Khanuja JS, Srivastava S. Perioperative considerations in a sickle cell patient undergoing cardiopulmonary bypass.Indian J Anaesth 2014;58:319-322


How to cite this URL:
Raut MS, Khanuja JS, Srivastava S. Perioperative considerations in a sickle cell patient undergoing cardiopulmonary bypass. Indian J Anaesth [serial online] 2014 [cited 2020 Aug 3 ];58:319-322
Available from: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=3;spage=319;epage=322;aulast=Raut;type=0