Anaesthesia in Sickle-cell States: A Plea for SimplicityBr 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
- K. A. Oduro,
- J. F. Searle
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.