Anaesthesia in Hematological Disorders:Anemia,Sickle cell disease

ISSN 0973 - 0958

Anesthesia in Children

Anaesthesia and Associated Diseases

Pediatrics Anesthesia

Bariatric Surgery for the Adolescence

Congenital Myopathies & Anesthesia

Anesthesia and Associated Diseases

Chronic Pain in Children

Anesthesia for Pediatric Laparoscopy

Alternative Therapies for Pain Management

Cancer Pain Management

Pediatric Anesthesia

Clinical Tools

Clinical Vignettes

Diseases & Conditions

Drugs Interaction Calculator

Podcasts

Patient Management Online

Diagnostic Dilemma

Question of the Day

Diagnostic Aid

VACCINE REMINDER

"Get the Vaccine Schedule for your child."

Ask Queries

SPECIALIST ANSWERS

FIND DIAGNOSIS

Today's Poll

Should all patients with viral respiratory infection be treated with oseltamivir in current epidemic of H1N1 influenza_?

Yes, it may be H1N1

No, only if test is positive for influenza

Only in sick patients admitted in ICU

Vote

Results

ANESTHESIA AND ASSOCIATED DISEASES

Related topics

Anaesthesia General Principles

Considerations for the Newborn

Pre term Infant

Downs Syndrome

Cystic Fibrosis and Plastic Surgery

Cleft lip and Palate And Cystic Hygroma

Burns and Neurology

Ophthalmology

Dental Surgery and ENT

Dr Sunita Goel
Lecturer in Anaesthesiology
BJ Wadia Childrens hospital

Hematological disorders :

Anemia: Children requiring surgery may be anemic. Remember that Hb level, normally 18-20g/dl at birth falls to 10-11g/dl by 3 months and thereafter climbs gradually to 14-16g/dl at 6 years of age.

In patients with anemia

O2 transport to the issues can be maintained by increased cardiac output or increased O2 extraction from blood.
Coronary sinus blood is normally desaturated, therefore O2 transport to the heart muscle can be maintained only by increased coronary blood flow.
Increased risk of cardiac arrest during anesthesia.
Patients with cardiac or serious respiratory disease require a higher Hb level than normal children.

If surgery cannot be delayed:

Transfuse the patient
If blood transfusion cannot be done
- Avoid excessive sedation
- Oxygenate well
- High O2 concentration
- Use ETT
- Use controlled ventilation
- Do not give CVS depressant drugs
- Extubate awake
- Give O2 during transport.

Sickle cell disease: Presence of abnormal HbS. HbS forms a gel when deoxygenated, distorting the erythrocytes; these then occlude vessels, causing infarction. The disease is almost entirely confined to the black races and may become evident during infancy when HbS replaces fetal Hb.

Sickle cell trait (Mild): when HbS < 50%.
Sickle cell disease (Severe form): When HbS > 75%.

Next : Anaesthesia in Hematological Disorders(Contd.)

Mail To Your Friend

Print This Article

PEDIATRIC ANESTHESIA : EXPERTISE VIEWS

Precautions for Child Under General Anesthesia for Autism

Diseases & Conditions

Pediatric Oncall Journal

Pediatric Conferences

Ped Tools

Adverse Drug Reactions

Head circuferences Calculator

Mid parental height Calculator

Body surface area Calculator

BMR Calculator

Temperature Calculator

Pediatric oncall book store

Partner Sites

Infection in Children

Pedcall

Medical ADRIS

Vaccine Reminder

Pediatric Oncall Journal

Educational Section

Nutrition

Skin Problems

Swine Flu Center

Health Solutions from our sponsors

DHA

Baby Massage

Disclaimer:

The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.

Sitemap For Doctor

Sitemap For Parent

Sitemap For Kids