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Papers of the Week

2020 Feb

Int J Obstet Anesth


Management of cesarean delivery in a parturient with sickle cell disease.


Romano D, Craig H, Katz D
Int J Obstet Anesth. 2020 Feb; 41:104-107.
PMID: 31610938.


Chronic hemolysis and intermittent vaso-occlusion in sickle cell disease can lead to recurrent blood transfusions with related complications such as antibody formation and rarely, life-threatening reactions. We report a case of a parturient who presented with complications of sickle cell disease and who later had fetal compromise that required an emergent cesarean delivery. Complex management decisions were made, aided by technologies such as rotational thrombo-elastometry, quantitative blood loss analysis and cell salvage.