The management of sickle cell patients undergoing surgery.
Between 10 and 15 percent of blacks have sickle cell disease or sickle cell trait. Either is capable of a sickle cell crisis which could occur during a surgical procedure. Because of this, we as otolaryngologists should be aware of how to diagnose sickle cell disease and what specific measures should be followed in order to avoid a sickle cell crisis. This paper deals with specific diagnostic tests available, their interpretation, and our protocol for managment of these patients when they are in the hospital for a surgical procedure.
D000142:Acidosis, Respiratory / Q000517:prevention & control; D000233:Adenoidectomy / Q000009:adverse effects; D000755:Anemia, Sickle Cell / Q000150:complications* / Q000175:diagnosis; D001797:Blood Protein Electrophoresis; D003681:Dehydration / Q000517:prevention & control; D004227:Dithionite; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007035:Hypothermia / Q000517:prevention & control; D010348:Patient Care Team; D011300:Preoperative Care; D012805:Sickle Cell Trait / Q000150:complications / Q000175:diagnosis; D013514:Surgical Procedures, Operative; D014068:Tonsillectomy / Q000009:adverse effects; D014508:Urea / Q000627:therapeutic use
D006454:Hemoglobins; D004227:Dithionite; D014508:Urea