Anesthesia Management of a Patient with Idiopathic Thrombocytopenic Purpura Undergoing Laparoscopic Esophageal Hiatal Hernia Surgery: A Case Report
Perioperative management of patients with immune thrombocytopenic purpura (ITP) has significant challenges for anesthesiologists. Perioperative bleeding due to thrombocytopenia in patients with ITP can be an essential challenge and is the most significant risk to anesthetists. Laparoscopic surgery c...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-07-01
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| Series: | Bali Journal of Anesthesiology |
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| Online Access: | https://journals.lww.com/bjoa/fulltext/2024/08030/anesthesia_management_of_a_patient_with_idiopathic.12.aspx |
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| _version_ | 1850195599862792192 |
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| author | Zoukou Marie France Dominique Seri Ahmed Uslu Nedim Çekmen |
| author_facet | Zoukou Marie France Dominique Seri Ahmed Uslu Nedim Çekmen |
| author_sort | Zoukou Marie France Dominique Seri |
| collection | DOAJ |
| description | Perioperative management of patients with immune thrombocytopenic purpura (ITP) has significant challenges for anesthesiologists. Perioperative bleeding due to thrombocytopenia in patients with ITP can be an essential challenge and is the most significant risk to anesthetists. Laparoscopic surgery can also be an additional challenge in such patients because of the risk of pneumoperitoneum that can lead to hemodynamic instability and bleeding deterioration. We present a 77-year-old successful anesthesia management of a female patient with ITP who underwent elective laparoscopic esophageal hiatal hernia surgery. A multidisciplinary team approach and comprehensive perioperative assessment and treatment are critical to ensure successful perioperative management of patients with ITP. We also aim to suggest that intravenous immunoglobulins therapy is not always mandatory in perioperative management of patients with ITP. |
| format | Article |
| id | doaj-art-52becb47e6f6403a92adb3cfd52c8982 |
| institution | OA Journals |
| issn | 2549-2276 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Bali Journal of Anesthesiology |
| spelling | doaj-art-52becb47e6f6403a92adb3cfd52c89822025-08-20T02:13:43ZengWolters Kluwer Medknow PublicationsBali Journal of Anesthesiology2549-22762024-07-018319019310.4103/bjoa.bjoa_173_24Anesthesia Management of a Patient with Idiopathic Thrombocytopenic Purpura Undergoing Laparoscopic Esophageal Hiatal Hernia Surgery: A Case ReportZoukou Marie France Dominique SeriAhmed UsluNedim ÇekmenPerioperative management of patients with immune thrombocytopenic purpura (ITP) has significant challenges for anesthesiologists. Perioperative bleeding due to thrombocytopenia in patients with ITP can be an essential challenge and is the most significant risk to anesthetists. Laparoscopic surgery can also be an additional challenge in such patients because of the risk of pneumoperitoneum that can lead to hemodynamic instability and bleeding deterioration. We present a 77-year-old successful anesthesia management of a female patient with ITP who underwent elective laparoscopic esophageal hiatal hernia surgery. A multidisciplinary team approach and comprehensive perioperative assessment and treatment are critical to ensure successful perioperative management of patients with ITP. We also aim to suggest that intravenous immunoglobulins therapy is not always mandatory in perioperative management of patients with ITP.https://journals.lww.com/bjoa/fulltext/2024/08030/anesthesia_management_of_a_patient_with_idiopathic.12.aspxairway management; anesthesia; bleeding; difficult intubation; immune thrombocytopenic purpura; multidisciplinary team approach |
| spellingShingle | Zoukou Marie France Dominique Seri Ahmed Uslu Nedim Çekmen Anesthesia Management of a Patient with Idiopathic Thrombocytopenic Purpura Undergoing Laparoscopic Esophageal Hiatal Hernia Surgery: A Case Report Bali Journal of Anesthesiology airway management; anesthesia; bleeding; difficult intubation; immune thrombocytopenic purpura; multidisciplinary team approach |
| title | Anesthesia Management of a Patient with Idiopathic Thrombocytopenic Purpura Undergoing Laparoscopic Esophageal Hiatal Hernia Surgery: A Case Report |
| title_full | Anesthesia Management of a Patient with Idiopathic Thrombocytopenic Purpura Undergoing Laparoscopic Esophageal Hiatal Hernia Surgery: A Case Report |
| title_fullStr | Anesthesia Management of a Patient with Idiopathic Thrombocytopenic Purpura Undergoing Laparoscopic Esophageal Hiatal Hernia Surgery: A Case Report |
| title_full_unstemmed | Anesthesia Management of a Patient with Idiopathic Thrombocytopenic Purpura Undergoing Laparoscopic Esophageal Hiatal Hernia Surgery: A Case Report |
| title_short | Anesthesia Management of a Patient with Idiopathic Thrombocytopenic Purpura Undergoing Laparoscopic Esophageal Hiatal Hernia Surgery: A Case Report |
| title_sort | anesthesia management of a patient with idiopathic thrombocytopenic purpura undergoing laparoscopic esophageal hiatal hernia surgery a case report |
| topic | airway management; anesthesia; bleeding; difficult intubation; immune thrombocytopenic purpura; multidisciplinary team approach |
| url | https://journals.lww.com/bjoa/fulltext/2024/08030/anesthesia_management_of_a_patient_with_idiopathic.12.aspx |
| work_keys_str_mv | AT zoukoumariefrancedominiqueseri anesthesiamanagementofapatientwithidiopathicthrombocytopenicpurpuraundergoinglaparoscopicesophagealhiatalherniasurgeryacasereport AT ahmeduslu anesthesiamanagementofapatientwithidiopathicthrombocytopenicpurpuraundergoinglaparoscopicesophagealhiatalherniasurgeryacasereport AT nedimcekmen anesthesiamanagementofapatientwithidiopathicthrombocytopenicpurpuraundergoinglaparoscopicesophagealhiatalherniasurgeryacasereport |