ANAESTHESIA IN PATIENTS WITH SICKLE-CELL ANAEMIA

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Abstract
The condition of sickle-cell anaemia is discussed from the viewpoint of the anaesthetist. Surgical conditions which arise in these patients have been described, and sixteen cases operated on at the University Hospital of the West Indies have been included. There were no complications attributable to anaesthesia. Suggestions have been made as to the pre-anaesthetic and anaesthetic care of these very frail individuals, with particular emphasis on the timing of elective surgery, preparation with alkali, caution in the use of blood transfusion, and the administration of oxygen.

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