title: Perioperative considerations in a sickle cell patient undergoing cardiopulmonary bypass.
abstract: An 11-year-old child, a known case of sickle cell anaemia with a history suggestive of sickling crisis in the past was scheduled for surgical pulmonary valvotomy. Pre-operative blood transfusion and hydroxyurea were administered. Pre-operative blood transfusion is indicated in sickle cell disease patients to raise the haematocrit level and lower sickle haemoglobin (HbS) levels. Before the start of cardiopulmonary bypass (CPB), exchange transfusion was performed to reduce HbS level and raise adult haemoglobin level. Hypothermia was prevented by employing normothermic CPB.
authors.affiliation: Department of Cardiac Anaesthesia, BLK Hospital, New Delhi, India.
authors.forename: Monish S
authors.initials: MS
authors.lastname: Raut
authors.affiliation: Department of Cardiac Anaesthesia, BLK Hospital, New Delhi, India.
authors.forename: Jasbir Singh
authors.initials: JS
authors.lastname: Khanuja
authors.affiliation: Department of Cardiac Surgery, BLK Hospital, New Delhi, India.
authors.forename: Sushant
authors.initials: S
authors.lastname: Srivastava
keywords: Autotransfusion; cardiopulmonary bypass; haemofiltration; hydroxyurea; sickle cell disease