Management of sickle cell disease during CABG surgery--a case report.
Elective Coronary Artery Bypass Graft (CABG) surgery using cardiopulmonary bypass techniques following preoperative transfusions to increase the hemoglobin A levels to above 60%, in a male patient with sickle cell disease [SCD] is described. Avoidance of hypoxia and acidosis lead to an uneventful perioperative period. Our institutional protocol for preoperative transfusions is highlighted.
Maddali
Madan Mohan
MM
Department of Anesthesiology, Royal Hospital, Muscat, Sultanate of Oman. madan@omantel.net.om
Rajakumar
Muthukkumar Chettiar
MC
Vishnu
Prasad Panduranga
PP
Valliattu
John
J
D000328:Adult; D000755:Anemia, Sickle Cell / Q000097:blood / Q000628:therapy*; D000768:Anesthesia, General; D001803:Blood Transfusion / Q000379:methods*; D002985:Clinical Protocols; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery*; D006441:Hemoglobin A / Q000032:analysis; D006801:Humans; D000860:Hypoxia / Q000517:prevention & control; D008297:Male; D019990:Perioperative Care / Q000379:methods
D006441:Hemoglobin A