Anesthestic management of Kassabach-Meritt Phenomenon in an adult: case report

Elkoundi, Abdelghafour; Samali, Mehdi; Kartite, Noureddine; Tbouda, Mohammed; Bensghir, Mustapha; Haimeur, C.

doi:10.1186/s12871-016-0278-y

Cited by 1 publication

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“…During surgery, anesthetic management is challenging and has not been often reported [2]. Herein, we reported our anesthetic management experience of 12 cases of these patients, who had KMP with the head and neck region involvement and received surgery.…”

Section: Introductionmentioning

confidence: 99%

Anesthesia Management of Children With Head and Neck Hemangiomas Associated With the Kasabach–merritt Phenomenon

Sun¹,

N²,

Chang³

et al. 2020

Preprint

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Background: We reported the anesthesia management of the patients with head and neck hemangiomas associated with the Kasabach–Merritt phenomenon (KMP).Methods: All 12 young patients with KMP involving the head and neck region who admitted in Henan Provincial Hospital for surgery between June 2012 and December 2016 were included in the study. The data during preoperative preparation including platelet infusion and glucocorticoid treatment, anesthetic management and postoperative recovery were were harvested and analysed.Results: Of the 12 patients, the platelet counts were less than 40× 109/L on admission but no gender difference and three of them responded to glucocorticoid treatment extremely well. The patients who did not respond glucocorticoid treatment well and whose platelets <40× 109/L were transfused platelets 12 hours prior to surgery to correct the platelet count to be equal or more than 100 × 109/L. The patients who had pneumonia before surgery had a prolonged hospital stay. All 12 patients had surgical excision successfully. After surgery, the platelet counts were increased rapidly in all patients.Conclusion Careful pre-anesthesia assessment and preparation, and thoughtful anesthesia management are needed for KMP patients to receive surgical excision.

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Section: Introductionmentioning

confidence: 99%