Anaesthesia for peculiar cells--a century of sickle cell disease.

Abstract:

:Sickle cell disease is a congenital haemoglobinopathy with a high incidence of perioperative complications. Traditional anaesthetic management, based largely on extrapolation from biochemical models, has emphasized avoidance of red cell sickling to prevent exacerbations of the disease. This historical review outlines the evolution of the traditional approach to sickle cell pathology, assesses the validity of this model, describes the emergence of the concept of the disease as one defined by chronic inflammatory vascular damage, and outlines the practical implications of this new approach.

journal_name

Br J Anaesth

authors

Firth PG

doi

10.1093/bja/aei129

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

287-99

issue

3

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)35985-8

journal_volume

95

pub_type

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