title: [Anesthetic management for a patient with autoimmune hemolytic anemia].
abstract: A 69-year-old woman with autoimmune hemolytic anemia (AIHA) received gastric resection and splenectomy under general anesthesia combined with epidural anesthesia. Her blood type had been determined as type A, Rh type CCDee, with anti-e-antibody and anti-pdl-antibody positive as autoantibodies. We applied the technique of hemodilutional autologous transfusion to supplement the blood loss during the operation to prevent hemolysis or occurrence of new antibody after homologous transfusion. We should pay much attention to a patient with AIHA to find signs of peri-operative hemolysis and to give the treatment for hemolysis in early stage. We consider that the hemodilutional autologous transfusion is a useful technique for the anesthetic management of the patient having a rare blood type.
authors.affiliation: Department of Anesthesiology, St. Marianna University School of Medicine, Yokohama City Seibu Hospital.
authors.forename: K
authors.initials: K
authors.lastname: Nagano
authors.forename: I
authors.initials: I
authors.lastname: Yamanaka
authors.forename: O
authors.initials: O
authors.lastname: Tajiri
authors.forename: M
authors.initials: M
authors.lastname: Sakamoto
authors.forename: Y
authors.initials: Y
authors.lastname: Okada
authors.forename: M
authors.initials: M
authors.lastname: Endo
authors.forename: S
authors.initials: S
authors.lastname: Saito
mesh_terms: D000368:Aged; D000744:Anemia, Hemolytic, Autoimmune / Q000209:etiology*; D000767:Anesthesia, Epidural; D000768:Anesthesia, General / Q000379:methods*; D001789:Blood Group Antigens; D001804:Blood Transfusion, Autologous; D005260:Female; D005743:Gastrectomy; D006438:Hemodilution; D006801:Humans; D008223:Lymphoma / Q000150:complications / Q000601:surgery; D013156:Splenectomy; D013274:Stomach Neoplasms / Q000150:complications / Q000601:surgery
chemical_list: D001789:Blood Group Antigens