RT Journal Article
SR Electronic
T1 Sickle cell disease in pregnancy. Obstetric and anesthetic management perspectives
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 265
OP 276
VO 25
IS 3
A1 Rajab, Khalil E.
A1 Skerman, Jonathan H.
YR 2004
UL http://smj.org.sa/content/25/3/265.abstract
AB Recent advances in the pathophysiology, clinical investigations, and management of sickle hemoglobinopathies enables all physicians to better manage these disease states and their sequelae. Patients with sickle cell disease SCD are living longer and are thus more likely to contract unrelated diseases that require surgery and anesthesia. Patients with SCD continue to be a challenge to all branches of medicine particularly in obstetrics, surgery and anesthesia; however, the armamentarium of new knowledge and practice places a different perspective on the care of this old disease. In general, the literature to date suggests that neither prophylactic transfusion of pregnant sicklers nor the selection of an anesthetic in labor have a major impact on patient outcome; however, perioperative management can greatly affect the consequences. A thorough knowledge of the impact of the disease on clinical status can determine how, when, and why to manage parturients with SCD.