|
KMID : 1155520100050030260
|
|
Anesthesia and Pain Medicine
2010 Volume.5 No. 3 p.260 ~ p.263
|
|
|
Anesthetic management of a patient with Kasabach-Merritt syndrome -A case report-
|
|
Park Sung-Chun
Yoon Ji-Young
Hong Jung-Min
Yoon Ji-Uk
Byeon Gyeong-Jo
|
|
|
Abstract
|
|
|
|
Kasabach-Merritt syndrome presents various problems for anesthetic management, which include thrombocytopenia, bleeding tendency, and problems arising from the hemangioma mass itself. A 1-month-old male was given sclerotherapies, platelet transfusions, steroid, interferon ?, vincristine because of the bleeding from the right lower leg hemangioma, but platelet numbers were decreased and seizures occurred due to frontal lobe focal hemorrhage. After all, he was scheduled for his right lower leg amputation when he was 7 months old. Anesthesia was carefully induced with thiopental, rocuronium, fentanyl, and flexible bronchoscope. It was maintained with sevoflurane and air/oxygen with fentanyl injection. Although excessive bleeding was expected during anesthesia and surgery, the operation was performed without correction of platelet number. Two days later, postoperative course was improved almost normal.
|
|
|
KEYWORD
|
|
|
Anesthetic management, Kasabach-Merritt syndrome, Thrombocytopenia
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|