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Year : 2011  |  Volume : 5  |  Issue : 2  |  Page : 233-235

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

1 Department of Anesthesia, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
2 Department of Neuroscience, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia

Correspondence Address:
Nihal El-Ghandour
Department of Anesthesia, King Fahad Medical City, Riyadh
Kingdom of Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0259-1162.94792

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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.

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