Clinical Experience of Coagulation Management in Multiple Myeloma Patient with Thrombocytopenia Using Thromboelastography: A case report. |
Yoon Ki Lee, Eun Sung Kim, Jong Ho Choi, Byung Sam Kim |
Department of Anesthesiology, Catholic University Medical College, Seoul, Korea. |
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Abstract |
Multiple myeloma is malignant proliferation of plasma cells whose pathologic condition is produced by bone marrow invasion as well as excessive production of immunoglobulin.
Its invasion into bone marrow causes severe pancytopenia.
Therefore these patients are susceptible to thrombocytopenia and have bleeding tendency, especially during surgery. We experienced an anesthetic management of meningioma operation in a patient with multiple myeloma who showed severe thrombocytopenia and excessive abonormal immunoglobulin. |
Key Words:
Anesthesia, general; Blood, multiple myeloma, thrombocytopenia; Monitoring, coagulation, thromboelastography |
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