Title: Sole Epidural Anaesthesia for Spleenectomy in patient of Hereditary Spherocytosis with Massive Spleenomegaly

Authors: Suresh Janapati, M H Nagrale, B.Kishan Rao, Kiran Kumar S, Srikanth A

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i11.59

Abstract

Sole Epidural anaesthesia is suitable for massive Spleenomegaly as it has definite advantages over General anaesthesia. The segmental sole Epidural block denotes the use of a segmental blocked involved in field of surgery and also avoids haemodynamic changes in comorbids conditions.

Keywords: Hereditary Spherocytosis, Segmental Epidural Anaesthesia, Spleenomegaly, General Anaesthesia.

References

  1. Perrotta S, Gallagher PG, Mohandas N. Hereditary spherocytosis. Lancet 2008; 372:1411-26.
  2. Firkin F, Chesterman C, Penington D, Rush B. The haemolytic anaemias. In: Firkin F, Chesterman C, Penington D, Rush B, editors. De Gruchy′s Clinical Haematology in Medical Practice. 5 th London: Blackwell Science; 1991. p. 182-4.
  3. Mariani M, Barcellini W, Vercellati C, Marcello AP, Fermo E, Pedotti P, et al.Clinical and hematologic features of 300 patients affected by hereditary spherocytosis grouped according to the type of the membrane protein defect. Haematologica 2008; 93:1310-7.
  4. Rinder CS. Hematologic disorders. In: Hines RL, Marschall KE, editors. Anesthesia and Co-Existing Disease. 5 th Pennsylvania: Elsevier; 2008 p. 409.
  5. Millers Textbook of anaesthesia
  6. Stoeltings coexisting text of anaesthesia
  7. Nandanwar AS, Patil P, Wagaskar VG, Baheti VH, Tanwar HV, Patwardhan SP. A comparison of Efficacy of Segmental Epidural Block versus Spinal Anaesthesia for Percutaneous Nephrolithotomy. J Clin Diagn   2015;9:UC01-UC04.[PMC free article] [PubMed]
  8. Hollman A, Jouppila R, Pihlajaniemi R, Karvonen P, SjostedtE. Selective lumbar epidural block in labour. A clinical analysis. Acta Anaesthesiol Scand 1977; 21 (3): 174-81.
  9. Deschner B, Allen M, Leon OD. Epidural blockade. In: Hadzic A, editor. Textbook of Regional Anaesthesia and Acute Pain Management. 1st Philadelphia:McGraw Hill; 2007. pp 229-67.
  10. Cousins MJ, Bromage PR. Epidural neural blockade, neural blockade in clinical anaesthesia and management of pain. Cousins MJ, Bridenbaugh PO (Eds): Neural Blockade. Philadelphia: JB Lippincott; 1988. p. 253-260.
  11. Gelman S. General anesthesia and hepatic circulation. Can J Physiol Pharmacol 1987; 65:1762-79.
  12. R.S.sachidan and, Praveen Kumar Devulapalli, B Srinivas rao. Segmental epidural anaesthesia for inguinal hernia repair. J of evidence based med & healthcare, pISSN-2349-2562/vol.2/ issue 39/sept. 28, 2015 page6244

Corresponding Author

Suresh Janapati

Flat no - 403, 4th Floor, Panchavati Apartment, Opp. R.T.O Office,

Dwaraka Nagar, Khammam,Telangana - 507002

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.