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 Atrial septal defect closure on cardiopulmonary bypass in a sickle cell anemia: Role of hydroxyurea and partial exchange transfusion

Kundan Sandugir Gosavi, Sananta Kumar Dash, Bharat N Shah, CB Upasani
Department of Anesthesia and Critical Care, Grant Medical College and Sir JJ Hospital, Mumbai, India

Correspondence Address:
Sananta Kumar Dash
Department of Anesthesia and Critical Care, Grant Medical College and Sir JJ Hospital, Byculla, Mumbai-400 008, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.62927

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Year : 2010  |  Volume : 13  |  Issue : 2  |  Page : 145-147

 
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Partial exchange transfusion during cardiopulmonary bypass, while conducting cardiac surgery may be a useful technique in patients with high level of sickle hemoglobin. Along with this preoperative use of hydroxyurea and alternative analgesic modalities such as transcutaneous electrical nerve stimulation in postoperative period may be beneficial, in our opinion. A 16-year-old female of Turner's syndrome having sickle cell anemia scheduled for closure of arterial septal defect on cardiopulmonary bypass was managed with partial exchange transfusion and warm cardioplegia.






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  © Annals of Cardiac Anaesthesia | Published by Wolters Kluwer - Medknow
 Online since 5th January, 2008

 

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Kundan Sandugir Gosavi, Sananta Kumar Dash, Bharat N Shah, CB Upasani
Department of Anesthesia and Critical Care, Grant Medical College and Sir JJ Hospital, Mumbai, India

Correspondence Address:
Sananta Kumar Dash
Department of Anesthesia and Critical Care, Grant Medical College and Sir JJ Hospital, Byculla, Mumbai-400 008, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.62927

Rights and Permissions

Partial exchange transfusion during cardiopulmonary bypass, while conducting cardiac surgery may be a useful technique in patients with high level of sickle hemoglobin. Along with this preoperative use of hydroxyurea and alternative analgesic modalities such as transcutaneous electrical nerve stimulation in postoperative period may be beneficial, in our opinion. A 16-year-old female of Turner's syndrome having sickle cell anemia scheduled for closure of arterial septal defect on cardiopulmonary bypass was managed with partial exchange transfusion and warm cardioplegia.






[FULL TEXT] [PDF]*


        
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  Sitemap | Feedback | Disclaimer | Privacy Notice | What's New  
  © Annals of Cardiac Anaesthesia | Published by Wolters Kluwer - Medknow
 Online since 5th January, 2008