Congenital Afibrinogenemia: Anaesthetic Implications of a Rare Inherited Coagulation Disorder

Congenital afibrinogenemia is a very rare inherited bleeding disorder that results from fibrinogen deficiency and is associated with bleeding manifestations of varying severity. A 21 Year-old, diagnosed case of congenital afibrinogenemia, was admitted to the hospital with blunt injury to both the ey...

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Main Authors: Archana Kalaichelvam, Jui Lagoo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-10-01
Series:The Indian Anaesthetists' Forum
Subjects:
Online Access:http://theiaforum.org/article/Congenital Afibrinogenemia: Anaesthetic Implications of a Rare Inherited Coagulation Disorder
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author Archana Kalaichelvam
Jui Lagoo
author_facet Archana Kalaichelvam
Jui Lagoo
author_sort Archana Kalaichelvam
collection DOAJ
description Congenital afibrinogenemia is a very rare inherited bleeding disorder that results from fibrinogen deficiency and is associated with bleeding manifestations of varying severity. A 21 Year-old, diagnosed case of congenital afibrinogenemia, was admitted to the hospital with blunt injury to both the eyes. He was posted for right eye enucleation. Main modality of treatment during bleeding episodes is transfusion of fibrinogen. Alternatively, cryoprecipitate can also be used for minor bleeding episodes or to maintain a base line fibrinogen level. Team work involving haematologists, surgeons and anaesthetist is needed for good pre-operative preparation, to form a protocol for intraoperative management and for optimum post-operative care. It is mandatory to arrange blood and blood products even for minor surgeries in view of the possibility of excessive blood loss.
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spelling doaj.art-77141ff39c204173bf6a375fec51a6912022-12-21T23:00:19ZengWolters Kluwer Medknow PublicationsThe Indian Anaesthetists' Forum0973-03112015-10-01162014Congenital Afibrinogenemia: Anaesthetic Implications of a Rare Inherited Coagulation DisorderArchana Kalaichelvam0Jui Lagoo1St. John’s Medical College and Hospital BengaluruSt. John’s Medical College and Hospital BengaluruCongenital afibrinogenemia is a very rare inherited bleeding disorder that results from fibrinogen deficiency and is associated with bleeding manifestations of varying severity. A 21 Year-old, diagnosed case of congenital afibrinogenemia, was admitted to the hospital with blunt injury to both the eyes. He was posted for right eye enucleation. Main modality of treatment during bleeding episodes is transfusion of fibrinogen. Alternatively, cryoprecipitate can also be used for minor bleeding episodes or to maintain a base line fibrinogen level. Team work involving haematologists, surgeons and anaesthetist is needed for good pre-operative preparation, to form a protocol for intraoperative management and for optimum post-operative care. It is mandatory to arrange blood and blood products even for minor surgeries in view of the possibility of excessive blood loss.http://theiaforum.org/article/Congenital Afibrinogenemia: Anaesthetic Implications of a Rare Inherited Coagulation Disordercongenital afibrinogenemiafibrinogencryoprecipitateanesthesia
spellingShingle Archana Kalaichelvam
Jui Lagoo
Congenital Afibrinogenemia: Anaesthetic Implications of a Rare Inherited Coagulation Disorder
The Indian Anaesthetists' Forum
congenital afibrinogenemia
fibrinogen
cryoprecipitate
anesthesia
title Congenital Afibrinogenemia: Anaesthetic Implications of a Rare Inherited Coagulation Disorder
title_full Congenital Afibrinogenemia: Anaesthetic Implications of a Rare Inherited Coagulation Disorder
title_fullStr Congenital Afibrinogenemia: Anaesthetic Implications of a Rare Inherited Coagulation Disorder
title_full_unstemmed Congenital Afibrinogenemia: Anaesthetic Implications of a Rare Inherited Coagulation Disorder
title_short Congenital Afibrinogenemia: Anaesthetic Implications of a Rare Inherited Coagulation Disorder
title_sort congenital afibrinogenemia anaesthetic implications of a rare inherited coagulation disorder
topic congenital afibrinogenemia
fibrinogen
cryoprecipitate
anesthesia
url http://theiaforum.org/article/Congenital Afibrinogenemia: Anaesthetic Implications of a Rare Inherited Coagulation Disorder
work_keys_str_mv AT archanakalaichelvam congenitalafibrinogenemiaanaestheticimplicationsofarareinheritedcoagulationdisorder
AT juilagoo congenitalafibrinogenemiaanaestheticimplicationsofarareinheritedcoagulationdisorder