2004
DOI: 10.1016/j.jclinane.2003.10.007
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Anesthetic and perioperative management of a patient with Bernard-Soulier syndrome

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Cited by 18 publications
(21 citation statements)
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“…Case reports involving patients with BSS include off-pump cardiac bypass [6], breast surgery [7], endodontic surgery [8], total hip arthroplasty [9], laparotomy [10], and mandibular osteotomy [11]. In most cases, preoperative thrombocytopenia is present and corrected via platelet transfusion prior to the surgery.…”
Section: Discussionmentioning
confidence: 99%
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“…Case reports involving patients with BSS include off-pump cardiac bypass [6], breast surgery [7], endodontic surgery [8], total hip arthroplasty [9], laparotomy [10], and mandibular osteotomy [11]. In most cases, preoperative thrombocytopenia is present and corrected via platelet transfusion prior to the surgery.…”
Section: Discussionmentioning
confidence: 99%
“…In most cases, preoperative thrombocytopenia is present and corrected via platelet transfusion prior to the surgery. Further intraoperative transfusions are used based on the clinical impression of the patient's hematologic status and extent of blood loss related to the surgery [6,7,9,10]. There is a lack of evidence guiding a perioperative plan in patients presenting with a history of mild symptoms associated with BSS and normal platelet count, but prophylactic transfusion of platelets has been utilized [8,11].…”
Section: Discussionmentioning
confidence: 99%
“…However, because of the rarity of BSS, no established protocols for the perioperative management exist, especially for complication-prone cancer patients. We found five reports in the literature describing patients with BSS who underwent surgical procedures under general anesthesia (Table 1) [13][14][15][16][17]. None of the reports referred to a case of oncological surgery.…”
Section: Discussionmentioning
confidence: 99%
“…None of the reports referred to a case of oncological surgery. Furthermore, only two reports described the anesthetic and perioperative management of the patient in depth [16,17]. As yet, allogeneic platelet transfusions are the only treatment with proven efficacy for BSS patients [18].…”
Section: Discussionmentioning
confidence: 99%
“…This disease develops in connection with the abnormality or lack of platelet membrane glycoprotein GPIb-V-IX and it is characterized by giant platelets, thrombocytopenia in various grades and prolonged bleeding time (Kostopanagiotou et al, 2004). Clinically it progresses with excessive bleeding not proportionate to the degree of thrombocytopenia and the bleedings are fatal (Bernard, 1983).…”
Section: Bernard-soulier Syndromementioning
confidence: 99%