Perioperative Management in Sickle Cell Disease

Rita D Paschal1

  • 1From the Department of Medicine, Division of Hematology/Oncology, University of Alabama at Birmingham.

Southern Medical Journal
|September 7, 2016
PubMed

Insights

Patients with sickle cell disease (SCD) often need surgery. Optimizing SCD care before and after surgery can reduce complications. Coordinating care with SCD specialists is crucial for better outcomes.

Area of Science:

  • Hematology
  • Surgical Management
  • Anesthesiology

Background:

  • Sickle cell disease (SCD) affects many patients requiring surgical intervention.
  • Perioperative complications are common in SCD patients, linked to surgery or hemoglobinopathy.
  • Effective management strategies are needed to mitigate surgical risks in SCD.

Purpose of the Study:

  • To review the perioperative management of patients with sickle cell disease.
  • To highlight strategies for reducing complication rates in SCD patients undergoing surgery.
  • To emphasize the importance of multidisciplinary care coordination.

Main Methods:

  • Literature review on perioperative care for sickle cell disease patients.
  • Analysis of common surgical procedures in SCD patients (orthopedic, abdominal).
  • Examination of factors contributing to perioperative complications.

Main Results:

  • Perioperative complications are frequent in SCD patients.
  • Preoperative optimization of SCD and postoperative care are key to reducing risks.
  • Coordination with SCD specialists is recommended for both elective and emergent surgeries.

Conclusions:

  • Careful perioperative management can significantly reduce complications in SCD patients.
  • Multidisciplinary collaboration, including SCD specialists, is essential for optimal surgical outcomes.
  • Proactive disease management is critical for patients with sickle cell disease undergoing surgery.

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