Anesthetic management without perioperative platelet transfusion for cervical laminectomy and laminoplasty in a case of May –Hegglin anomaly

We report a case involving a patient with MHA who was perioperativ ely managed without platelet transfusion for cervical laminectomy and laminoplasty. In our case, the platelet count was measured to be 0.6 × 104/ µL using an automatic blood cell counter. Peripheral blood smear and genetic test analyses were performed, leading to a definitive diagnosis of MHA. However, clot retraction, serotonin release, and platelet aggregation were normal. Total intravenous anesthesia with propofol and remifentanil, in com bination with intermittent injection of fentanyl, was administered. The total blood loss volume was 300 mL, and perioperative course was uneventful. Visual platelet count and platelet function were preserved in this case, although platelet or red blood cell transfusion was not performed. No bleedin g tendency was observed during perioperative management.
Source: Journal of Anesthesia - Category: Anesthesiology Source Type: research