Management of patients with sickle cell disease in oral surgery. Literature review and update

Prevost, Raphaëlle; Feugueur, G.; Moizan, Hervé; Keribin, Pierre; Kimakhe, J.; Veyssière, A.

doi:10.1016/j.jormas.2018.06.010

Cited by 10 publications

(40 citation statements)

References 22 publications

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“…Some groups include the determination of HIV, HBV and other transfusion‐associated blood borne viruses in their systematic screening . There is a consensus that, in case of active ‐acute or subacute‐ infection, surgery should be postponed if possible . The role for antibioprophylaxis is discussed by many, and two strategies seem to co‐exist in the literature.…”

Section: Resultsmentioning

confidence: 99%

“…The role for antibioprophylaxis is discussed by many, and two strategies seem to co‐exist in the literature. There are authors recommending prophylaxis according to type of surgery, and others adapting it to the individual patients' medical histories . As a standout, splenectomy needs specific considerations, including preoperative immunizations against encapsulated bacteria, as in the context of asplenia .…”

Section: Resultsmentioning

confidence: 99%

“…Thrombophilia evaluation is suggested, in some reviews . Preoperative preparation occasionally includes chest physiotherapy and intra‐venous hydration during the fasting period . Bicarbonate treatment, as a prevention to acidosis, has been reported as a standard treatment in older manuscripts .…”

Section: Resultsmentioning

confidence: 99%

“…Regarding thresholds, earlier recommendations advocate “no transfusion” prior to surgery or minor risk surgeries, as long as the hemoglobin level was >4 to 5 g/dL . This limit had the tendency to move upwards with time, many authors currently recommending a hemoglobin level ≥9‐10 g/dL, before minor to intermediate risk surgery, whilst some groups still advocate 7 g/dL . A hemoglobin threshold of >10 g/dL is considered by some authors as a target for major surgeries .…”

Section: Resultsmentioning

confidence: 99%

“…highlighted as important in several reports . Interestingly, in reviews and opinion surveys, outpatient surgery is not recommended by some authors, while only three groups consider it to be feasible and safe . Older reviews recommend against elective surgery in SCD patients, if at all possible, due to complication risks .…”

Section: Resultsmentioning

confidence: 99%

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Perioperative care of children with sickle cell disease: A systematic review and clinical recommendations

et al. 2019

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Children with sickle cell disease (SCD) require specific perioperative care, and clinical practice in this area remains poorly defined. We aimed to conduct a systematic, PRISMA-based review of the literature, available clinical guidelines and practice recommendations. We also aimed to extract any valuable information for the "best of available-evidence"-based prevention of perioperative adverse events in children with SCD, and highlight the most urgent priorities in clinical research. As data sources, USWe also included institutional, consortia and expert group guidelines. Included were reports/guidelines in English, French, German, and Italian. Excluded were reports on obstetrical and fetal management. We identified 202 reports/guidelines fulfilling the criteria outlined above. A majority focused on visceral, cardiovascular and orthopedic surgery procedures, and only five were multicenter randomized controlled trials and two prospective randomized studies. After grading of the quality of the evidence, the extracted data was summarized into clinical recommendations for daily practice. Additionally, we designed a risk-grading algorithm to identify contexts likely to be associated with adverse outcomes. In conclusion, we provide a systematic PRISMA-based review of the existing literature and ancillary practice and delineate a set of clinical recommendations and priorities for research.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Perioperative care of children with sickle cell disease: A systematic review and clinical recommendations

et al. 2019

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Predictors of dental complications post‐dental treatment in patients with sickle cell disease

Gusmini

Feng

et al. 2020

Clinical & Exp Dental Res

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Objective Our aim was to explore potential medical or dental indicators associated with dental complications and the utilization of emergency services in sickle cell disease (SCD), especially that clinical reports on adverse outcomes post‐dental treatment are scarce. Materials and methods A retrospective analysis of dental treatments of 47 eligible adults with confirmed SCD between May 2016 and October 2019. Logistic regression analysis was used whether clinical outcomes, course of dental treatment, and regularity of dental care are associated with dental complications after dental procedures and/or resulted in emergency care or hospital admissions. Results We identified a new, statistically significant association (p‐value = .01) between the number of prescription medications taken and complications (10%) after dental procedures. The most frequent dental procedures were tooth extractions (36%) and pain management (28%) during a non‐scheduled dental encounter (68%). The majority of cases did not participate in regular recall exams and periodical oral hygiene maintenance. Conclusions A higher number of prescription medications was associated with an increased risk of post‐dental complications in SCD patients. A thorough medical history, including a list of prescribed medications, and collaboration with the patient medical team are important to assess the risk of complications post‐dental procedures and the need for antibiotic prophylaxis according to the case complexity.

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Oral and Maxillofacial Surgery and Hematologic Diseases

Zemplenyi

Dillon

2021

Oral and Maxillofacial Surgery for the Medically Compromised Patient

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Management of patients with sickle cell disease in oral surgery. Literature review and update

Cited by 10 publications

References 22 publications

Perioperative care of children with sickle cell disease: A systematic review and clinical recommendations

Perioperative care of children with sickle cell disease: A systematic review and clinical recommendations

Predictors of dental complications post‐dental treatment in patients with sickle cell disease

Oral and Maxillofacial Surgery and Hematologic Diseases

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