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Hemoglobin drop after anesthesia in craniosynstosis: Dilemma of operate or not to operate

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 w...

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Detalles Bibliográficos
Autores principales: El-Ghandour, Nihal, Kassem, Salah, Al Sabbagh, Abdelrahman J., Al-Banyan, Ayman, Shubbak, Firas A., Hassib, Ahmad, Zaki, Hazem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173406/
https://www.ncbi.nlm.nih.gov/pubmed/25885398
http://dx.doi.org/10.4103/0259-1162.94792
Descripción
Sumario: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.