Anaesthetic management of splenectomy in Evan's syndrome during pregnancy with pregnancy induced hypertension.

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dc.contributor.authorSherke, R Ren_US
dc.contributor.authorRao, M Sen_US
dc.date.accessioned2001-07-08en_US
dc.date.accessioned2009-06-02T10:08:40Z
dc.date.available2001-07-08en_US
dc.date.available2009-06-02T10:08:40Z
dc.date.issued2001-07-08en_US
dc.description.abstractThe management of idiopathic thrombocytopenic purpura (ITP) during pregnancy, especially with ongoing bleeding diathesis, has not been highlighted sufficiently in the literature. Aortocaval compression and reduction in uteroplacental circulation resulting in foetal hypoxia and acidosis, Mendelson's syndrome due to gravid uterus, trauma to airway with resultant haemorrhage and aspiration into lungs, compromised airway due to short neck, anasarca and heavy breast, limitation in using invasive monitoring and regional anaesthesia and uncontrolled bleeding leading to placental hypoperfusion and foetal hypoxia are some of the important risks. In the present case report, anaesthetic management for splenectomy during pregnancy complicated with pregnancy induced hypertension and bleeding diathesis secondary to ITP is described with reference to above risks.en_US
dc.description.affiliationDepartment of Anaesthesiology & Intensive Care, Nizam's Institute of Medical Sciences, Hyderabad, India. sherkerupali@hotmail.comen_US
dc.identifier.citationSherke RR, Rao MS. Anaesthetic management of splenectomy in Evan's syndrome during pregnancy with pregnancy induced hypertension. Journal of Postgraduate Medicine. 2001 Jul-Sep; 47(3): 196-8en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/115314
dc.language.isoengen_US
dc.source.urihttps://www.jpgmonline.comen_US
dc.subject.meshAdulten_US
dc.subject.meshAnemia, Hemolytic --complicationsen_US
dc.subject.meshAnesthesia, General --methodsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHemorrhage --etiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshPre-Eclampsia --etiologyen_US
dc.subject.meshPregnancyen_US
dc.subject.meshPregnancy Complications, Hematologic --therapyen_US
dc.subject.meshPurpura, Thrombocytopenic, Idiopathic --complicationsen_US
dc.subject.meshSplenectomyen_US
dc.subject.meshSyndromeen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleAnaesthetic management of splenectomy in Evan's syndrome during pregnancy with pregnancy induced hypertension.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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