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Anesthetic management of patient with systemic lupus erythematosus and thrombocytopenia for vaginal hysterectomy
We report a case of a female having systemic lupus erythematosus, who was on steroid therapy and was scheduled for vaginal hysterectomy. She presented with breathlessness on mild exertion, a characteristic facial malar rash, and a platelet count 56,000 cells/cu mm. The patient was given a subarachno...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173482/ https://www.ncbi.nlm.nih.gov/pubmed/25885737 http://dx.doi.org/10.4103/0259-1162.114022 |
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author | Chauhan, Gaurav Gupta, Kapil Kashyap, Chandni Nayar, Pavan |
author_facet | Chauhan, Gaurav Gupta, Kapil Kashyap, Chandni Nayar, Pavan |
author_sort | Chauhan, Gaurav |
collection | PubMed |
description | We report a case of a female having systemic lupus erythematosus, who was on steroid therapy and was scheduled for vaginal hysterectomy. She presented with breathlessness on mild exertion, a characteristic facial malar rash, and a platelet count 56,000 cells/cu mm. The patient was given a subarachnoid block with 2.8 ml 0.5% bupivacaine heavy in L3–L4 intervertebral space. Inj. Hydrocortisone 25 mg was given I.V. intraoperatively and repeated every 6 hours for 24 hours. Anesthetic management included considerations of systemic organ involvement, thrombocytopenia, and perioperative steroid replacement. Spinal block can be given with platelet count > 50,000/cumm. Strict asepsis should be maintained for invasive procedures. Maintenance of normothermia decreases the impact of Raynaud's phenomenon. |
format | Online Article Text |
id | pubmed-4173482 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-41734822014-10-22 Anesthetic management of patient with systemic lupus erythematosus and thrombocytopenia for vaginal hysterectomy Chauhan, Gaurav Gupta, Kapil Kashyap, Chandni Nayar, Pavan Anesth Essays Res Case Report We report a case of a female having systemic lupus erythematosus, who was on steroid therapy and was scheduled for vaginal hysterectomy. She presented with breathlessness on mild exertion, a characteristic facial malar rash, and a platelet count 56,000 cells/cu mm. The patient was given a subarachnoid block with 2.8 ml 0.5% bupivacaine heavy in L3–L4 intervertebral space. Inj. Hydrocortisone 25 mg was given I.V. intraoperatively and repeated every 6 hours for 24 hours. Anesthetic management included considerations of systemic organ involvement, thrombocytopenia, and perioperative steroid replacement. Spinal block can be given with platelet count > 50,000/cumm. Strict asepsis should be maintained for invasive procedures. Maintenance of normothermia decreases the impact of Raynaud's phenomenon. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC4173482/ /pubmed/25885737 http://dx.doi.org/10.4103/0259-1162.114022 Text en Copyright: © Anesthesia: Essays and Researches http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Chauhan, Gaurav Gupta, Kapil Kashyap, Chandni Nayar, Pavan Anesthetic management of patient with systemic lupus erythematosus and thrombocytopenia for vaginal hysterectomy |
title | Anesthetic management of patient with systemic lupus erythematosus and thrombocytopenia for vaginal hysterectomy |
title_full | Anesthetic management of patient with systemic lupus erythematosus and thrombocytopenia for vaginal hysterectomy |
title_fullStr | Anesthetic management of patient with systemic lupus erythematosus and thrombocytopenia for vaginal hysterectomy |
title_full_unstemmed | Anesthetic management of patient with systemic lupus erythematosus and thrombocytopenia for vaginal hysterectomy |
title_short | Anesthetic management of patient with systemic lupus erythematosus and thrombocytopenia for vaginal hysterectomy |
title_sort | anesthetic management of patient with systemic lupus erythematosus and thrombocytopenia for vaginal hysterectomy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173482/ https://www.ncbi.nlm.nih.gov/pubmed/25885737 http://dx.doi.org/10.4103/0259-1162.114022 |
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