Abstract
Management of a patient with severe anemia is an important anaesthesia challenge. We have reported a case of a 24year old female who presented with a ruptured extra uterine pregnancy. Patient was having a severe anemia. The post-operative period was uneventful and patient was discharged 8 days after surgery. Here we are discussing a management and outcome of this case which was performed under general anesthesia with massive blood transfusion. The duration of surgery was 1 hour 30 min and haemostasis was achieved in this period as well. Keywords: Severe anemia; Ectopic pregnancy; Hypovolemic shock; Massive blood transfusion
Highlights
Ectopic pregnancy is a common life threatening emergency and leading cause to mortality in first trimester [1]
About 95% of ectopic pregnancies are located in one of the fallopian tubes, and most ectopic implantation is found in the ampullary region of the fallopian tube while the rare sites of implantation are the cervix, ovary and abdominal cavity [3]
Anesthesia was maintained with Isoflurane 0.2% and intermittent boluses of 25mcg fentanyl
Summary
Ghodageri Shruti1∗, B Shivshankar, K R Dharunipriya, Ashwini Narasannavar, G H Megha
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