Incidental thrombocytosis: Should it concern the anesthesiologist?
Kiranlata Kiro1, Pragati Ganjoo1, Deepti Saigal1
1Department of Anaesthesiology and Intensive Care, Govind Ballabh Pant Hospital, Maulana Azad Medical College, New Delhi, India.
Summary
Preoperative thrombocytosis requires careful evaluation. While primary thrombocytosis poses risks, secondary thrombocytosis in infants often leads to uneventful surgeries with appropriate care.
Area of Science:
- Anesthesiology
- Hematology
- Pediatric Surgery
Background:
- Preoperative thrombocytosis, elevated platelet count (PC), has significant implications for surgical patients.
- Primary thrombocytosis is a chronic myeloproliferative disorder, while secondary thrombocytosis is a benign reactive condition, often seen in children.
Observation:
- Serious perioperative hemostatic complications are associated with primary thrombocytosis, necessitating preoperative evaluation and treatment.
- Patients with reactive thrombocytosis typically undergo uncomplicated surgeries if the cause is identified and no prior complications exist.
Findings:
- This study presents three infants with high preoperative PC, presumed reactive, who underwent successful neurosurgeries.
- No specific perioperative interventions were required beyond standard thrombo-prophylaxis and preanesthetic evaluation.
Implications:
- Distinguishing between primary and secondary thrombocytosis is crucial for anesthetic management.
- Routine preanesthetic checkups and basic thrombo-prophylaxis are recommended for all patients with elevated PC.
Keywords:
Anesthesiaessential thrombocythemiaperioperative complicationsreactive thrombocytosisthrombocytosisMore Related Videos
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