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Anaesthetic Management of Parturient with Sickle Cell Disease and Uncontrolled Hypothyroidism for Emergency Appendicectomy
Sickle cell disease (SCD) is a rare clinical disorder characterised by chronic anaemia and episodes of vaso-occlusive crisis. Hypothyroid patients need additional levothyroxine supplementation during pregnancy1. Physiological changes of pregnancy add on to stress and may precipitate vaso-occlusive crisis and result in significant cardiorespiratory complications2. Surgery and anaesthesia during first trimester of pregnancy is avoided due to risk of miscarriage.
Sickle Cell Anemia, Hypothyroidism, Pregnancy, Emergency Surgery.
- Tammy J B, Mary H. Management of hypothyroidism during pregnancy. CMAJ 2007: 176(8); 1077.
- Brett. I. D, David J. B, Daniel. M. T. Anaesthesia for the parturient with sickle cell disease. Journal of clinical anaesthesia 1996.8:598-602
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