Downloads: 2 | Views: 24 | Weekly Hits: ⮙2 | Monthly Hits: ⮙2

Case Studies | Anaesthesiology | India | Volume 13 Issue 11, November 2024 | Popularity: 4.6 / 10

Rate This Article!      

Anaesthetic Management for ? Thalassemia Major Patient with Massive Splenomegaly for Splenectomy

Dr. Suhas H N, Deeksha P, Dr. Jyothsna

Abstract: A 14 yr old ? Thalassemia Major patient with massive splenomegaly scheduled for elective splenectomy. Diagnosed at age 7, he exhibited easy fatigability, pallor, maxillary hyperplasia, and hepatomegaly. Initial hemoglobin was 7.9 g/dL increased to 8.7 g/dL post transfusion. Investigations showed elevated bilirubin and liver enzymes, with a peripheral smear indicating microcytic hypochromic anaemia. After obtaining informed consent, a 20G IV line was established, and monitoring commenced. General anaesthesia was induced with IV propofol and succinylcholine, followed by intubation with a 5.5 cuffed endotracheal tube. Anaesthesia was maintained with sevoflurane and titrated doses of atracurium and fentanyl. Intraoperative blood loss was 200 mL, with fluid replacement managed appropriately. Neuromuscular blockade was reversed, and the patient was extubated after suctioning. The postoperative period was uneventful, and discharge occurred on the 10th day. In conclusion, managing ? Thalassemia Major requires careful preoperative assessment and readiness for complications.

Keywords: Beta Thalassemia Major, splenomegaly, anaemia, blood transfusion, balanced anaesthesia

Edition: Volume 13 Issue 11, November 2024

Pages: 1138 - 1140

DOI: https://www.doi.org/10.21275/SR241118173925

Make Sure to Disable the Pop-Up Blocker of Web Browser

Click to Cite this Article

Similar Articles