[Anesthetic considerations in sickle cell anemia: a case report].
Sickle cell anemia is the most common hemoglobinopathy. Advances in therapeutic techniques and anesthetic procedures have led to a considerable increase in the success of surgical procedures in these patients. We report the case of a 16-year-old black boy diagnosed with sickle cell anemia and beta-thalassemia who presented with chronic osteomyelitis of the tibia. He was scheduled for debridement of the lesion and musculocutaneous flap repair. We emphasize the importance of communication between anesthesiologists, surgeons, and hematologists in the perioperative period in order to determine the risk of complications and anticipate them.
Fernández-Meré
L A
LA
Servicio de Anestesiología, Reanimación y Terapútica del Dolor, Hospital Universitario Central de Asturias (HUCA), Oviedo, Principado de Asturias. lafmere@teleline.es
Sopena-Zubiría
L A
LA
Alvarez-Blanco
M
M
D000293:Adolescent; D000768:Anesthesia, General; D000075202:Contraindications; D019694:Hepatitis B, Chronic / Q000150:complications; D006801:Humans; D000860:Hypoxia / Q000517:prevention & control / Q000628:therapy; D007431:Intraoperative Complications / Q000517:prevention & control; D008160:Lumbosacral Plexus; D008288:Malaria / Q000150:complications; D008297:Male; D009407:Nerve Block; D010019:Osteomyelitis / Q000209:etiology / Q000601:surgery*; D010102:Oxygen Inhalation Therapy; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care; D012584:Sciatic Nerve; D012805:Sickle Cell Trait / Q000150:complications*; D013921:Thrombocytopenia / Q000150:complications; D013977:Tibia / Q000601:surgery; D014111:Tourniquets; D017086:beta-Thalassemia / Q000150:complications*