Open AccessHemoglobin drop after anesthesia in craniosynstosis: Dilemma of operate or not to operate
Author(s) -
Nihal El-Ghandour,
Salah Kassem,
Abdelrahman J Al Sabbagh,
Ayman Al-Banyan,
Firas A Shubbak,
Ahmad Hassib,
Hazem Zaki
Publication year - 2011
Publication title -
al-banǧ. maqālāt wa abḥāṯ fī al-taẖdīr wa-al-in’āš
Language(s) - English
Resource type - Journals
ISSN - 0259-1162
DOI - 10.4103/0259-1162.94792
Subject(s) - anesthesia , hemoglobin , medicine , dilemma , craniosynostosis , surgery , cranial vault , skull , philosophy , epistemology
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.