MANAGEMENT OF CASE OF MASSIVE SPLENOMEGALY WITH GAUCHER’S DISEASE FOR SPLENECTOMY.
- Assistant Lecturer, Dept of Anaesthesiology, NKP Salve Institute of Medical Sciences & Research Center, Nagpur-440019, Maharashtra, India.
- Associate Professor, Dept of Anaesthesiology, NKP Salve Institute of Medical Sciences & Research Center, Nagpur-440019, Maharashtra, India.
- Professor and HOD, Dept of Anaesthesiology, NKP Salve Institute of Medical Sciences & Research Center, Nagpur-440019, Maharashtra, India.
- Resident JR-III, Dept of Anaesthesiology, NKP Salve Institute of Medical Sciences & Research Center, Nagpur-440019, Maharashtra, India.
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Abstract
Gaucher’s disease is a rare lysosomal storage disease caused due to deficiency of enzyme glucocerebrosidase which presents with bone marrow depression, hypersplenism, hepatosplenomegaly, bony involvement and neurological complication. We report perioperative management of a 19 year female patient with massive splenomegaly and hypersplenism posted for splenectomy. The anaesthesia challenges include major fluid shift leading to changes in haemodynamics, changes in respiratory mechanics.
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Savita Chauhan, Charuta Gadkari, Anjali Bhure and Sohal Parate. (2016); MANAGEMENT OF CASE OF MASSIVE SPLENOMEGALY WITH GAUCHER’S DISEASE FOR SPLENECTOMY., International Journal of Advanced Research (IJAR), 4 (06), 1320-1323, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/742
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