A Safe Subarachnoid Block in Idiopathic Thrombocytopenic Purpura with Severe Thrombocytopenia

Tjokorda Gde Agung Senapathi; Christopher Ryalino; Adinda Putra Pradhana

doi:10.3889/oamjms.2020.3775

Authors

Tjokorda Gde Agung Senapathi Department of Anesthesia and Intensive Care, Faculty of Medicine, Udayana University, Denpasar 80232, Bali, Indonesia
Christopher Ryalino Department of Anesthesia and Intensive Care, Faculty of Medicine, Udayana University, Denpasar 80232, Bali, Indonesia
Adinda Putra Pradhana Department of Anesthesia and Intensive Care, Faculty of Medicine, Udayana University, Denpasar 80232, Bali, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2020.3775

Keywords:

thrombocytopenia, idiopathic, bleeding disorder, regional anaesthesia, management

Abstract

BACKGROUND: Idiopathic thrombocytopenic purpura (ITP) still presents particular challenges for anesthetists, especially when the patient needs surgery. Preparing a patient with ITP in elective surgery is an advantage for anesthetists since it gives us time to prepare the patient properly.

CASE REPORT: We present a case of a 36-year-old woman scheduled for an elective laparotomy due to an ovarian cyst. She had been diagnosed with ITP in 2015 and was admitted to the intensive care unit (ICU) for post-operative bleeding.

CONCLUSION: Individual experience in elective surgery should lead anesthetists to a better judgment in emergency cases with ITP.

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