ANESTHESIA FOR SPLENECTOMY IN PATIENTS WITH BLOOD DYSCRASIAS

摘要: • The choice of anesthetics for patients undergoing splenectomy is considered on the basis experience with 205 who had various blood dyscrasias. Congenital spherocytosis was present in 33 patients, and light cyclopropane anesthesia plus administration tubocurarine, controlled respiration, used 22 these. It afforded a stable cardiocirculatory state without significant complications either during or after surgery. A second group consisted 49 acquired hemolytic anemia, third 79 thrombocytopenic purpura, fourth 44 pancytopenia, neutropenia, aplastic anemia. Complications were most numerous purpuric group, which often failed to have therapeutic effect, so that there seven postoperative deaths. not found necessary choose anesthetic agents sake their effects contractility spleen. made, rather, patient's liability hemorrhage hypotension. Endotracheal intestinal intubation avoided whenever platelet count low, order reduce danger bleeding; spinal when circulating volume low. policy maintain an adequate transfusions fresh, whole blood, but transfuse cautiously cases anemia because hazard severe reactions.