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Case Reports
. 2011 Jul-Dec;5(2):233-5.
doi: 10.4103/0259-1162.94792.

Hemoglobin drop after anesthesia in craniosynstosis: Dilemma of operate or not to operate

Nihal El-Ghandour  1 , Salah Kassem  1 , Abdelrahman J Al Sabbagh  2 , Ayman Al-Banyan  2 , Firas A Shubbak  1 , Ahmad Hassib  1 , Hazem Zaki  1
Affiliations
Case Reports

Hemoglobin drop after anesthesia in craniosynstosis: Dilemma of operate or not to operate

Nihal El-Ghandour et al. Anesth Essays Res. 2011 Jul-Dec.

Abstract

An infant with craniosynostosis for craniectomy and cranial-vault remodelling was detected to have very low hemoglobin (6.8 gm%) after induction of anesthesia. This posed a dilemma whether to proceed with or abandon the surgical procedure. The case was postponed and was rescheduled for surgery one week later with hope that his hemoglobin would rise during this period. However, even before second anesthesia his hemoglobin level was found to be unchanged. Meticulous anesthesia management resulted in uneventful surgical procedure.

Keywords: Prematurity; craniosynostosis; cytomegalo virus; homoglobin drop; post operative care pediatrics neuroanaesthesia.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Pre and post operative 3 dimensionally reconstructed CT scans of the patient, depicting pan sutural craniosynostosis and most significantly shallow retracted orbital rims. 2 days postoperatively, Orbital bar advancement is evident in addition to frontal bone remodelling. 3 months post operatively futher bone growth and progressive closure of the bony defects have occurred faster than expected due to the child's condition (Osteopetrosis).
See this image and copyright information in PMC

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