Document Detail

Anaesthetic management of splenectomy in Evan's syndrome during pregnancy with pregnancy induced hypertension.
MedLine Citation:
PMID:  11832624     Owner:  NLM     Status:  MEDLINE    
The management of idiopathic thrombocytopenic purpura (ITP) during pregnancy, especially with ongoing bleeding diathesis, has not been highlighted sufficiently in the literature. Aortocaval compression and reduction in uteroplacental circulation resulting in foetal hypoxia and acidosis, Mendelson's syndrome due to gravid uterus, trauma to airway with resultant haemorrhage and aspiration into lungs, compromised airway due to short neck, anasarca and heavy breast, limitation in using invasive monitoring and regional anaesthesia and uncontrolled bleeding leading to placental hypoperfusion and foetal hypoxia are some of the important risks. In the present case report, anaesthetic management for splenectomy during pregnancy complicated with pregnancy induced hypertension and bleeding diathesis secondary to ITP is described with reference to above risks.
R R Sherke; M S Rao
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of postgraduate medicine     Volume:  47     ISSN:  0022-3859     ISO Abbreviation:  J Postgrad Med     Publication Date:    2001 Jul-Sep
Date Detail:
Created Date:  2002-02-08     Completed Date:  2002-07-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985196R     Medline TA:  J Postgrad Med     Country:  India    
Other Details:
Languages:  eng     Pagination:  196-8     Citation Subset:  IM    
Department of Anaesthesiology & Intensive Care, Nizam's Institute of Medical Sciences, Hyderabad, India.
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MeSH Terms
Anemia, Hemolytic / complications,  therapy
Anesthesia, General / methods*
Hemorrhage / etiology
Pre-Eclampsia / etiology*
Pregnancy Complications, Hematologic* / therapy
Purpura, Thrombocytopenic, Idiopathic / complications*,  therapy
Treatment Outcome

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