Korean J Crit Care Med.  2008 Jun;23(1):36-39. 10.4266/kjccm.2008.23.1.36.

Anesthetic and Postoperative Intensive Care for Patient with Systemic Lupus Erythematosis and Antiphospholipid Syndrome: A Case Report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, College of Medicine, Kyung Hee University, Seoul, Korea. keonsik@hanafos.com

Abstract

The antiphospholipid syndrome (APS) is characterized by vascular thrombosis despite of prolongation of coagulation profile in laboratory findings and pregnancy morbidity in the presence of antiphospholipid antibody. It occurs primarily or secondarily to autoimmune disease. This case report concerns a pelviscopic left ovarian cystectomy in a 32-year-old female with APS and systemic lupus erythematosis. To manage the hypercoagulability, oral warfarin and low molecular weight haparin were given pre- and postoperatively. In perioperative period, we monitored activated clotting time to prevent intraoperative thrombosis and tried to avoid dehydration, hypothermia and infection.

Keyword

Antiphospholipid antibody; Antiphospholipid syndrome; Hypercoagulability; Systemic lupus erythematosis

MeSH Terms

Adult
Antibodies, Antiphospholipid
Antiphospholipid Syndrome
Autoimmune Diseases
Cystectomy
Dehydration
Female
Humans
Hypothermia
Critical Care
Molecular Weight
Perioperative Period
Pregnancy
Thrombophilia
Thrombosis
Warfarin
Antibodies, Antiphospholipid
Warfarin
Full Text Links
  • KJCCM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr