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Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
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[Anesthetic management of a patient with suspected pseudothrombocytopenia]

Manabu Hashimoto1, Akira Kouchi, Shin Inaba

  • 1Department of Anesthesiology, National Cancer Center East Hospital, Chiba 277-0882.

Masui. the Japanese Journal of Anesthesiology
|November 6, 2003
PubMed

A 74-year-old male was operated for sigmoid colon cancer. Because of an agglutination of the patient's platelet, it was difficult to measure his platelet count under ethylene diamine tetra acetate (EDTA), heparin or citrate as anticoagulants with an automated cell counter. Even though there was a strong possibility of pseudothrombocytopenia, anesthetic management for the patient was safely conducted. His condition was stable throughout the perioperative course and no bleeding tendency was observed. Nitrous oxide, oxygen, sevoflurane, propofol and pancuronium were useful in this case.

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