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Revista Cubana de Anestesiología y Reanimación

versión On-line ISSN 1726-6718

Resumen

IGLESIAS HERNANDEZ, Raúl et al. Complication related to a severe pre-eclampsia and its complications in a patient carrier of SC hemoglobinopathy. Rev cuba anestesiol reanim [online]. 2009, vol.8, n.2. ISSN 1726-6718.

Introduction: SC hemoglobinopathy is one of the more severe ways of the S hemoglobinopathy. Patients presenting this disease have a high risk of eclampsia, miscarriages, pre-term labor, organic damage, infections, and sudden death during pregnancy. Objective: To identify Perioperative behavior and the course of a patient presenting with severe pre-eclampsia-associated SC hemoglobinopathy. A case presentation: A female patient presenting with severe pre-eclampsia-associated SC hemoglobinopathy had undergone an emergence secarean section using orothacheal general anesthesia. Despite the behavior followed in the operating theater, she developed a situation suggesting a acute hemodialysis with target organs involvement, worsening of thrombocytopenia, and concomitant rise of serum transaminases. Conclusions: Preoperative behavior must to be directed by a multidisciplinary team able to secure a vigorous treatment. It is very important that pre-eclampsia care associated or not with rare diseases be considered a multisystem syndrome of variable severity and course. It is essential to achieve a proper organic perfusion to avoid future complications.

Palabras clave : Hemoglobinopathy SC; Severe preeclampsia.

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