Surgical Management of Sickle Cell Anemia: The Use of Packed Red Blood Cell Transfusions

Case Reports1 February 1958SURGICAL MANAGEMENT OF SICKLE CELL ANEMIA: THE USE OF PACKED RED BLOOD CELL TRANSFUSIONSJAY A. NADEL, M.D., ALFRED P. SPIVACK, M.D.JAY A. NADEL, M.D.Search for more papers by this author, ALFRED P. SPIVACK, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-48-2-398 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe presence of sickle cell anemia complicates the management of surgical patients and makes surgery more hazardous.1 A method of preparation of patients with sickle cell anemia for surgery by the use of packed red blood cell transfusions will be presented, with a case report demonstrating some of the specific problems of management.CASE REPORTA 25 year-old, 120 pound Negro woman with sickle cell anemia was first admitted to another hospital on March 18, 1955, with a diagnosis of far advanced, active pulmonary tuberculosis with a large cavity in the upper lobe of the left lung. Her symptoms of...Bibliography1. Bauer J: Sickle cell disease: pathogenic, clinical and therapeutic considerations, Arch. Surg. 41: 1344, 1940. 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Author, Article, and Disclosure InformationAffiliations: Philadelphia, Pennsylvania*Received for publication August 2, 1956.From the Department of Medicine, Philadelphia General Hospital.Requests for reprints should be addressed to Jay A. Nadel, Captain, USAF (MC), Internal Medicine Section, 4167th USAF Hospital, Travis Air Force Base, California. 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