title: Hemoglobin drop after anesthesia in craniosynstosis: Dilemma of operate or not to operate.
abstract: An infant with craniosynostosis for craniectomy and cranial-vault remodelling was detected to have very low hemoglobin (6.8 gm%) after induction of anesthesia. This posed a dilemma whether to proceed with or abandon the surgical procedure. The case was postponed and was rescheduled for surgery one week later with hope that his hemoglobin would rise during this period. However, even before second anesthesia his hemoglobin level was found to be unchanged. Meticulous anesthesia management resulted in uneventful surgical procedure.
authors.affiliation: Department of Anesthesia, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Nihal
authors.initials: N
authors.lastname: El-Ghandour
authors.affiliation: Department of Anesthesia, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Salah
authors.initials: S
authors.lastname: Kassem
authors.affiliation: Department of Neuroscience, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Abdelrahman J
authors.initials: AJ
authors.lastname: Al Sabbagh
authors.affiliation: Department of Neuroscience, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Ayman
authors.initials: A
authors.lastname: Al-Banyan
authors.affiliation: Department of Anesthesia, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Firas A
authors.initials: FA
authors.lastname: Shubbak
authors.affiliation: Department of Anesthesia, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Hassib
authors.affiliation: Department of Anesthesia, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Hazem
authors.initials: H
authors.lastname: Zaki
keywords: Prematurity; craniosynostosis; cytomegalo virus; homoglobin drop; post operative care pediatrics neuroanaesthesia