Anaesthesia for patients with sickle cell disease or other haemoglobinopathies

Haxby, Elizabeth; Flynn, Fidelma; Bateman, C

doi:10.1016/j.mpaic.2007.02.006

Cited by 6 publications

(16 citation statements)

References 4 publications

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“…Universal preoperative screening for SCD is not recommended by any of the reviewed reports or guidelines. Some authors recommend screening targeted to all non‐Caucasians, which has ethical limitations. One review recommends against any screening, due to its impracticality in Africa, whereas one highlighted the importance of pre‐existing neonatal screening .…”

Section: Resultsmentioning

confidence: 99%

“…One hundred and sixty‐eight reports discuss, in variable detail, the perioperative care of SCD patients. A multidisciplinary collaboration and communication between the surgeon, anesthetist, hematologist and blood bank specialist are universally considered to be mandatory, although specific study data is not available to support this unanimous recommendation . When required, the preemptive and planned coordination with an ICU team for post‐operative admission and care is suggested .…”

Section: Resultsmentioning

confidence: 99%

“…Thrombophilia evaluation is suggested, in some reviews . Preoperative preparation occasionally includes chest physiotherapy and intra‐venous hydration during the fasting period . Bicarbonate treatment, as a prevention to acidosis, has been reported as a standard treatment in older manuscripts .…”

Section: Resultsmentioning

confidence: 99%

“…Regarding thresholds, earlier recommendations advocate “no transfusion” prior to surgery or minor risk surgeries, as long as the hemoglobin level was >4 to 5 g/dL . This limit had the tendency to move upwards with time, many authors currently recommending a hemoglobin level ≥9‐10 g/dL, before minor to intermediate risk surgery, whilst some groups still advocate 7 g/dL .…”

Section: Resultsmentioning

confidence: 99%

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Perioperative care of children with sickle cell disease: A systematic review and clinical recommendations

et al. 2019

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Children with sickle cell disease (SCD) require specific perioperative care, and clinical practice in this area remains poorly defined. We aimed to conduct a systematic, PRISMA-based review of the literature, available clinical guidelines and practice recommendations. We also aimed to extract any valuable information for the "best of available-evidence"-based prevention of perioperative adverse events in children with SCD, and highlight the most urgent priorities in clinical research. As data sources, USWe also included institutional, consortia and expert group guidelines. Included were reports/guidelines in English, French, German, and Italian. Excluded were reports on obstetrical and fetal management. We identified 202 reports/guidelines fulfilling the criteria outlined above. A majority focused on visceral, cardiovascular and orthopedic surgery procedures, and only five were multicenter randomized controlled trials and two prospective randomized studies. After grading of the quality of the evidence, the extracted data was summarized into clinical recommendations for daily practice. Additionally, we designed a risk-grading algorithm to identify contexts likely to be associated with adverse outcomes. In conclusion, we provide a systematic PRISMA-based review of the existing literature and ancillary practice and delineate a set of clinical recommendations and priorities for research.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Perioperative care of children with sickle cell disease: A systematic review and clinical recommendations

et al. 2019

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“…Sickle cell disease (SCD) is endemic in certain geographic areas, equatorial Africa having the highest incidence (1). The pathogenesis is of microvascular occlusion by sickle cells leading to hemolysis and tissue infarction.…”

mentioning

confidence: 99%

Laparoscopic heminephrectomy in a 3‐year old with sickle cell disease

Cook¹,

Thomas²

2009

Pediatric Anesthesia

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Role of regional anesthesia in patients with acute sickle cell pain: A scoping review

Rizvi

Kessler

Rabiner

2022

Pediatric Blood & Cancer

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Sickle cell disease is the most prevalent inherited blood disorder in the world, with significant morbidity and mortality. Patients often have recurrent painful vaso-occlusive episodes, and the American Society of Hematology gives a conditional recommendation for the use of regional anesthesia for acute sickle cell pain management. This scoping review summarizes the current evidence and identifies gaps for future research. Our screening process is outlined, and articles that mentioned the use of regional anesthesia for acute sickle cell crises were included. We present and interpret our results and highlight opportunities for future investigation.

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Anaesthesia for patients with sickle cell disease or other haemoglobinopathies

Cited by 6 publications

References 4 publications

Perioperative care of children with sickle cell disease: A systematic review and clinical recommendations

Perioperative care of children with sickle cell disease: A systematic review and clinical recommendations

Laparoscopic heminephrectomy in a 3‐year old with sickle cell disease

Role of regional anesthesia in patients with acute sickle cell pain: A scoping review

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