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Title: Dental extraction in a child with chronic idiopathic thrombocytopenia purpura: are preoperative platelet transfusions necessary?
Authors: Tay, Stanley
Szabo, Ferenc
Spain, Brian
Affiliation: From the Departments of *Anesthesia and †Hematology, Royal Darwin Hospital, Darwin, Australia..
Issue Date: Oct-2013
Citation: A & A case reports 2013-10; 1(1): 3-4
Abstract: Thresholds for platelet counts in patients at risk for bleeding are often used before surgery. We present a case report of a 13-year-old female with chronic idiopathic thrombocytopenia purpura for dental extraction with a platelet count of 4 × 10 L. Usually, therapies including platelet infusions, IV immunoglobulin, or corticosteroids would be used to increase platelet numbers. In this patient, rather than using any of these prophylactic therapies preoperatively, we used a "watchful waiting" strategy with a multidisciplinary team, the use of tranexamic acid and the aforementioned therapies available only as "rescue" agents.
DOI: 10.1097/ACC.0b013e31828cbb05
Type: Journal Article
Appears in Collections:NT Health digital library

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