Sickle cell disease: Implications for perioperative care

Aker, John

doi:10.1016/s1089-9472(99)80086-0

Cited by 6 publications

(21 citation statements)

References 16 publications

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“…If neonatal screening for hemoglobinopathies is implemented locally, some authors, in reviews and retrospective studies, do not see the need for pre‐operative screening . If such intervention is not available, a preoperative screening in patients from endemic regions is suggested in several reviews . Universal preoperative screening for SCD is not recommended by any of the reviewed reports or guidelines.…”

Section: Resultsmentioning

confidence: 99%

“…The systematic preoperative assessment of SCD patients varies considerably in its implementation and/or description. As expected, collecting a medical history and performing a physical examination is a standard recommendation . In particular, the documentation of a personal pain management history is part of some assessments, and aims to facilitate postoperative interventions and decision‐making in non‐opioid naïve patients .…”

Section: Resultsmentioning

confidence: 99%

“…In particular, the documentation of a personal pain management history is part of some assessments, and aims to facilitate postoperative interventions and decision‐making in non‐opioid naïve patients . Some authors suggest a complete clinical examination of the nervous system and imaging, such as transcranial Doppler ultrasound, cerebral angiography or MRI if indicated . A chest radiograph is often performed as part of the work‐up: universally, or only if and when clinically indicated .…”

Section: Resultsmentioning

confidence: 99%

“…Some authors suggest a complete clinical examination of the nervous system and imaging, such as transcranial Doppler ultrasound, cerebral angiography or MRI if indicated . A chest radiograph is often performed as part of the work‐up: universally, or only if and when clinically indicated . Laboratory investigations are generally requested in a procedure‐specific fashion, and include blood counts, HbS % determination (by electrophoresis or high‐performance liquid chromatography), metabolic, liver and kidney testing panels, coagulation studies and blood gas analyzes .…”

Section: Resultsmentioning

confidence: 99%

“…A chest radiograph is often performed as part of the work‐up: universally, or only if and when clinically indicated . Laboratory investigations are generally requested in a procedure‐specific fashion, and include blood counts, HbS % determination (by electrophoresis or high‐performance liquid chromatography), metabolic, liver and kidney testing panels, coagulation studies and blood gas analyzes . Electrocardiogram and echocardiography are frequently performed.…”

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%