Intermittent anesthesia for splenectomy and caesarian sectio in pregnant patient with thalassemia (case report) Talasemi̇li̇ gebedede splenektomi̇ ve sezaryen i̇çi̇n aralikli anestezi̇ uygulamalari (olgu sunumu)

ÜNAL Y., IŞIK B., Özköse Z., Yarici A., Gökçe M.

Gazi Medical Journal, cilt.17, sa.4, ss.224-226, 2006 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 17 Sayı: 4
  • Basım Tarihi: 2006
  • Dergi Adı: Gazi Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.224-226
  • Gazi Üniversitesi Adresli: Evet

Özet

Globin chain defect which is responsible for thalassemia causes splenic sequestration by increasing the erythrocyte rigidity and decreasing the membrane stability. In order to avoid the splenic sequestration which abbreviates erythrocyte life span, splenectomy is necessary in the early years of life. Some clinical abnormalities as well as splenic laceration may be the cause of maternal and fetal mortality and morbidity in thalassemia disease. We report a case of a pregnant patient with thalassemia who underwent an urgent splenectomy under general anaesthesia at 23. gestational week and caesarean section under epidural anaesthesia at 38. gestational week. We aim to submit prognosis of the newborn and discuss the light of the literature.