Management of a parturient with thrombocytopenia-absent-radius syndrome undergoing urgent caesarean section.
Thrombocytopenia-absent-radius syndrome is a rare congenital condition characterised by a low platelet count and limb abnormalities. There may be airway difficulties and cardiac disease is frequently associated. We present a case of successful general anaesthesia for urgent caesarean section. The major anaesthetic difficulties encountered were severe thrombocytopenia with a platelet count 30x10(9)/L, which precluded regional anaesthesia, and extensive limb abnormalities resulting in difficulty with vascular access and cardiovascular monitoring. Platelet transfusion was required but airway difficulties were not encountered.
Lynch
J C
JC
Department of Anaesthesia and Intensive Care Medicine, Waterford Regional Hospital, Ardkeen, Co. Waterford, Ireland.
McCaul
C L
CL
D000015:Abnormalities, Multiple / Q000235:genetics / Q000503:physiopathology; D000328:Adult; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D001803:Blood Transfusion; D002585:Cesarean Section; D004630:Emergencies; D005260:Female; D006801:Humans; D036801:Parturition; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000628:therapy; D011884:Radius / Q000002:abnormalities*; D013577:Syndrome; D013921:Thrombocytopenia / Q000235:genetics* / Q000503:physiopathology