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Fechtner's syndrome: considerations of anesthetic management
F Mertzlufft1, A Koster, H Steinhart
1Department of Anesthesiology and Intensive Care, Universitaetskliniken des Saarlandes, Homburg/Saar, Germany. mertzlufft@t-online.de
Anesthesia and Analgesia
|May 29, 2000
Implications:
Fechtner's syndrome is a rare form of macrothrombocytopenia (potentially associated with other hemostatic deficiencies, e.g., von Willebrand's disease and protein Z deficiency), which can exacerbate the risk of uncontrollable bleeding during surgery. We describe the management of a patient with Fechtner's syndrome involving desmopressin, prednisone, and platelets, which produced safe and effective results during cochlear implant surgery.