Open AccessChild with aplastic anemia: Anesthetic management
Author(s) -
Manpreet Kaur,
Babita Gupta,
Aanchal Sharma,
Sanjeev Kumar Sharma
Publication year - 2012
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.101228
Subject(s) - medicine , pancytopenia , aplastic anemia , anesthetic , anemia , immunosuppression , surgery , neutropenia , pediatrics , bone marrow , chemotherapy
Aplastic anemia is a rare heterogeneous disorder of hematopoietic stem cells causing pancytopenia and marrow hypoplasia with the depletion of all types of blood cells. This results in anemia, neutropenia and thrombocytopenia, which pose a challenge to both surgical and anesthetic management of such cases. We report a child with aplastic anemia who sustained traumatic ulcer on the arm and underwent split-thickness skin grafting under general anesthesia. There are only two case reports on anesthetic considerations in aplastic anemia patients in the literature. The anesthetic management is challenging because of the rarity of the disease, associated pancytopenia and immunosuppression.