Anesthetic Management of a Jehova’s Witness with Severe Anemia Undergoing Emergent Hysterectomy
-
- Osako Seiichi
- Department of Anesthesiology, Osaka University Hospital
-
- Hayashi Yukio
- Department of Anesthesiology, Osaka University Hospital
-
- Yasue Yuichi
- Department of Anesthesiology, Osaka University Hospital
-
- Matsuyama Yasuhiro
- Department of Anesthesiology, Osaka University Hospital
-
- Tamura Takeshi
- Department of Anesthesiology, Osaka University Hospital
-
- Mashimo Takashi
- Department of Anesthesiology, Osaka University Hospital
Bibliographic Information
- Other Title
-
- 術前より高度の貧血がみられた輸血拒否患者の緊急手術の麻酔管理
Search this article
Abstract
We reported anesthetic management of a parturient of Jehova’s Witness with severe anemia(Hb: 5.8g/dl), undergoing emergent hysterectomy. Her massive bleeding continued following dilatation and curettage for missed abortion. Anesthesia was induced with propofol, fentanyl and rocuronium and maintained with sevoflurane and remifentanil. Hypotension after induction of anesthesia was treated with volume loading with 5% albumin and repeated bolus injection of phenylephrine. Although continuous infusion of dopamine was given to maintain blood pressure after start of the operation, ST segment depression was noted in II, III and aVF. Then, dopamine was replaced by noradrenaline and thereafter, ST depression was alleviated. Considering the episode of ST depression and the value of Hb of 2.8g/dl at end of the operation, the patient was transported to ICU without extubation and under sedation with propofol to suppress the oxygen consumption. The patient was extubated on 10th postoperative day without any respiratory or neurological complications. The present case suggests that perioperative management to suppress the oxygen consumption may be a useful for a patient of Jehova’s Witness with severe anemia.
Journal
-
- CIRCULATION CONTROL
-
CIRCULATION CONTROL 32 (1), 22-25, 2011
Japan Society of Circulation Control in Medicine
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390282679081693056
-
- NII Article ID
- 130004801366
-
- ISSN
- 03891844
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- CiNii Articles
-
- Abstract License Flag
- Disallowed