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All Journal Indian Journal of Forensic Medicine & Toxicology
Dr. Sweety Agrawal, Dr. Pratibha Deshmukh, Dr Priyanka Deshmukh, Dr Anjali Modak,
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Anesthetic Management of Patients with Sickle Cell Disease Posted for Bipolar Prosthesis Dr. Sweety Agrawal, Dr. Pratibha Deshmukh, Dr Priyanka Deshmukh, Dr Anjali Modak,
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12751

Abstract

In case of surgical procedures in sickle cell disease (SCD), patients are associated with high risk ofperioperative complications like vaso-occlusive crisis, chest syndrome, post-operative infections, congestiveheart failure, cerebrovascular accident and acute kidney injury. Preoperative assessment and stabilizationlike control of sepsis, blood transfusion, correction of hypoxia, hypothermia, dehydration and acidosis isneeded to reduce peri-operative complications. Blood transfusion (Simple, manual exchange and automatedexchange) remains an important therapeutic intervention in patients with SCD. The case study below showsthe perioperative management of patients posted for bipolar prosthesis due to AVN (avascular necrosis).Adequate analgesia, incentive spirometry, early mobilisation and oxygen supplementation is the mainstayof post-operative management.
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