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Chapter 97 - Sickle Cell Anemia

from Section 14 - Other Situations

Published online by Cambridge University Press:  03 August 2023

By
Ali G. Ali ,
Sheila Chiu  and
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

An 11-year-old male with sickle cell disease is scheduled for a repair of his ankle fracture. What are the anesthetic implications of sickle cell disease? How would you anesthetize this child? Would you use regional or general anesthesia? Can the surgeon use a tourniquet?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 413 - 416
Publisher: Cambridge University Press
Print publication year: 2023

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References

Dulvadestin, P, Gilton, A, Hernigou, P, Marty, J. The onset time of atracurium is prolonged in patients with sickle cell disease. Anesth Analg 2008;107(1):113–16.CrossRefGoogle ScholarPubMed
Firth, PG, Head, CA. Sickle cell disease and anesthesia. Anesthesiology 2004;101:766–85.CrossRefGoogle ScholarPubMed
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 1051–2.Google Scholar
Hines, RL, Marschall, K. Stoelting’s Anesthesia and Coexisting Disease, 7th ed. Philadelphia: Elsevier, 2018, pp. 483–4.Google Scholar
Humes, HD. Kelley’s Textbook of Internal Medicine, 4th ed. Philadelphia: Lippincott Williams & Wilkins, 2000, pp. 1788–94.Google Scholar
New England Pediatric Sickle Cell Consortium. Blood transfusion for pediatric patients with sickle cell disease. 2003.Google Scholar

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