Year : 2012  |  Volume : 6  |  Issue : 3  |  Page : 298-300

Child with aplastic anemia: Anesthetic management

1 Department of Anaesthesia, JPNA Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
2 Department of Neuro Anaesthesia, All India Institute of Medical Sciences, New Delhi, India
3 Department of Hematology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Manpreet Kaur
426 Masjid Moth Resident Doctor's Hostel, AIIMS, New Delhi -110029
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1658-354X.101228

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Aplastic anemia is a rare heterogeneous disorder of hematopoietic stem cells causing pancytopenia and marrow hypoplasia with the depletion of all types of blood cells. This results in anemia, neutropenia and thrombocytopenia, which pose a challenge to both surgical and anesthetic management of such cases. We report a child with aplastic anemia who sustained traumatic ulcer on the arm and underwent split-thickness skin grafting under general anesthesia. There are only two case reports on anesthetic considerations in aplastic anemia patients in the literature. The anesthetic management is challenging because of the rarity of the disease, associated pancytopenia and immunosuppression.

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