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Anesthetic Considerations in Diffuse Bleeding Diathesis of Uncertain Origin

F. Y. DALAL, FFARCS^*, E. J. BENNETT, FFARCS, E. M. GRUNDY, FFARCS, S. YOUNES, MD, and E. ORFEI, MD^||

*Associate Professor, Department of Anesthesiology, Loyola University Stritch School of Medicine, May-wood, Illinois 60153, Professor, Department of Anesthesiology, Abraham Lincoln School of Medicine, University of Illinois, Chicago, Illinois. Assistant Professor, Department of Anesthesiology, Abraham Lincoln School of Medicine, University of Illinois, Chicago, Illinois. Assistant Professor, Department of Anesthesiology, Loyola University Stritch School of Medicine. ||Associate Professor of Pathology, Department of Pathology, Loyola University Stritch School of Medicine.

Abstract

This is a report of a case of a diffuse bleeding tendency in a pregnant woman who presented for emergency splenectomy with a tentative diagnosis of thrombotic thrombocytopenic purpura. The influence of multiple organ dysfunction in the selection of appropriate monitors and the anesthetic technic in such cases are complex.