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Platelet transfusion for surgery in the presence of polycythemia vera
Author(s) -
Terasako K.,
Sasai S.
Publication year - 1998
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1998.tb05122.x
Subject(s) - medicine , polycythemia vera , hematocrit , perioperative , hemostasis , incidence (geometry) , polycythemia rubra vera , surgery , platelet , blood transfusion , platelet transfusion , anesthesia , physics , optics
Surgery in the presence of uncontrolled polycythemia vera is associated with a high incidence of perioperative hemorrhage and postoperative venous thromboses. Control prior to surgery reduces the frequency of perioperative complications. A 73‐year‐old women suffering from polycythemia vera was scheduled for subtotal gastrectomy. Her platelet count before surgery was slightly elevated but bleeding time was prolonged. To manage the current case of polycythemia vera, hydroxyurea was effective for the control of hematocrit and transfusion of platelet concentrates was effective for hemostasis.