title: Perioperative anaesthetic management of a patient with relapsed aplastic Anaemia.
abstract: Aplastic anaemia occurs due to failure of blood cell production by bone marrow. All blood cell counts are low. Untreated patients may die within one year mainly due to uncontrolled infection due to neutropenia. Anaemia and thrombocytopenia cause troublesome symptoms and necessitate frequent red cell and platelets transfusions. Surgery poses a very high risk for these patients because of the several complications that can occur in the perioperative period. In this paper we report on a patient with relapsed aplastic anaemia who was optimized preoperatively and underwent a total abdominal hysterectomy under general anaesthesia.
authors.affiliation: Department of Anaesthesia, Aga Khan University Hospital, Karachi.
authors.forename: Aliya
authors.initials: A
authors.lastname: Ahmed
authors.forename: Abdul
authors.initials: A
authors.lastname: Monem
mesh_terms: D000328:Adult; D000741:Anemia, Aplastic / Q000150:complications*; D000768:Anesthesia, General; D000771:Anesthesia, Intravenous; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008595:Menorrhagia / Q000601:surgery; D011300:Preoperative Care; D012008:Recurrence; D012307:Risk Factors