Medical Practice

Anaesthesia in Sickle-cell States: A Plea for Simplicity

Br Med J 1972; 4 doi: https://doi.org/10.1136/bmj.4.5840.596 (Published 09 December 1972) Cite this as: Br Med J 1972;4:596
  1. K. A. Oduro,
  2. J. F. Searle

    Abstract

    505 patients with various haemoglobinopathies were given a general anaesthetic between January 1970 and February 1972. One patient with haemoglobin SC disease and one patient with sickle-cell trait (HbAS) died postoperatively. Four other patients who were sickling positive, but whose genotypes were unknown, died, one from sickle-cell crisis precipitated by haemorrhage.

    A simple anaesthetic technique together with good postoperative care can provide safe general anaesthesia for patients with sickle-cell states. A plea is made for simplicity in the anaesthetic management of these patients.

    Sign in

    Log in through your institution

    Free trial

    Register for a free trial to thebmj.com to receive unlimited access to all content on thebmj.com for 14 days.
    Sign up for a free trial

    Subscribe