Preanesthesia transfusion and sickle cell anemia patients: case report and controversies.
Preoperative transfusion of sickle cell anemia (SCA) patients prior to general anesthesia is considered a routine procedure to ensure adequate levels of normal adult hemoglobin A to prevent a sickle cell crisis. Blood transfusion risks have led some clinicians to question this procedure. A case report is presented in which a SCA patient developed a delayed hemolytic reaction from a transfusion given prior to dental treatment under general anesthesia. The controversy of transfusion in this patient group is presented.
Thornton
J B
JB
Pediatric Dentistry Program, University of Alabama, Birmingham, School of Dentistry.
Sams
D R
DR
D000328:Adult; D000743:Anemia, Hemolytic / Q000209:etiology*; D000755:Anemia, Sickle Cell / Q000150:complications; D000766:Anesthesia, Dental; D000768:Anesthesia, General; D001787:Blood Group Incompatibility; D017742:Dental Care for Chronically Ill / Q000379:methods*; D005078:Exchange Transfusion, Whole Blood / Q000009:adverse effects*; D006801:Humans; D008607:Intellectual Disability / Q000150:complications; D008297:Male; D011300:Preoperative Care / Q000009:adverse effects