Aesthetic management of patients with essential thrombocythemia

Authors

Keywords:

trombocitemia esencial, neoplasias mieloproliferativas, trombocitosis, recuento plaquetario.

Abstract

Essential thrombocythemia is part of the group of myeloproliferative neoplasms. It is characterized by microvascular and vasomotor symptoms, platelet count over 450x109/L, megakaryocytic proliferation with large and mature morphology, absence of erythroid and granulocytic proliferation, demonstration of JAK2V617F or other clonal marker, and absence of evidence of reactive thrombocytosis. Anesthetic management is reported in a patient, whose case’s main considerations are related to the prevention of hemorrhagic and thrombotic events. Aspirin suspension, maintenance of hydroxyurea treatment, preparation with tranexamic acid, pre- and post-operative use of fraxiparin, adequate hydration, use of elastic stockings in lower limbs, early ambulation, good surgical hemostasis, as well as availability of platelet concentrates are the fundamental elements in the anesthetic management of this patient.

 

Keywords: essential thrombocythemia; myeloproliferative neoplasms; thrombocytosis; platelet count.

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Author Biographies

Osmany Cruz García, Hospital Universitario Celestino Hernández Robau

Especialista de Primer Grado en Anestesiología y Reanimación, profesor asistente, Msc. Atención Integral a la Mujer.

Carlos Gilberto Nieto Monteagudo, Hospital Universitario Celestino Hernández Robau

Especialista de Segundo Grado en Anestesiología y Reanimación, profesor auxiliar

Lester Álvarez Hurtado, Hospital Universitario Celestino Hernández Robau

Especialista de Primer Grado en Anestesiología y Reanimación, profesor instructor. Msc Urgencias Médicas

Yassel Cruz Hernández, Policlínico Universitario Chiqui Gómez Lubián

Residente de Tercer Año de Medicina General e Integral.

Marlon Cruz Hernández, Universidad de Ciencias Médicas. Villa Clara

Interno Vertical en Anestesiología y Reanimación

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Published

2022-01-05

How to Cite

1.
Cruz García O, Nieto Monteagudo CG, Álvarez Hurtado L, Cruz Hernández Y, Cruz Hernández M. Aesthetic management of patients with essential thrombocythemia. Rev Cub Anest Rean [Internet]. 2022 Jan. 5 [cited 2024 Dec. 22];20(3). Available from: https://revanestesia.sld.cu/index.php/anestRean/article/view/729

Issue

Vol. 20 No. 3 (2021): September - December (in progress)

Section

Case reports

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