Hemoglobin drop after anesthesia in craniosynstosis: Dilemma of operate or not to operate

Abstract

An infant with craniosynostosis for craniectomy and cranial-vault remodelling was detected to have very low hemoglobin (6.8 gm%) after induction of anesthesia. This posed a dilemma whether to proceed with or abandon the surgical procedure. The case was postponed and was rescheduled for surgery one week later with hope that his hemoglobin would rise during this period. However, even before second anesthesia his hemoglobin level was found to be unchanged. Meticulous anesthesia management resulted in uneventful surgical procedure.

The Undetermined Destiny of Case Reports in the Era of Sophisticated Medicine

“…6 The disease was initially described as a single case, and extensive reporting of more cases expanded our understanding of the nature of such an infection, its origin, route of transmission, pathophysiologic mechanisms, and clinical implications. 7 The value of case reports is also evident by their role in delineating hidden unusual disease associations, 8,9 novel genetic discoveries, 10 new surgical techniques and technical nuances, 11 unique thought-provoking disease pathogenesis, 12 decision-making challenges and conundrums, 13 cutting-edge management innovations, 14 and unusual complications. 15 Such unique cases carry new information that can be of huge educational value and are of great interest to the readers.…”

Pediatric neurosurgery, special attention is required!

“…In this issue, a case report of craniosynostosis undergoing a corrective surgery has been reported. [ 2 ] Difficult intubation due to high larynx was encountered. The surgery was quite complicated: Pansynostosis orbital bar advancement, frontal expansion, and right optic canal deroofing.…”