A&A Case Reports

Skip Navigation LinksHome > October 2013 - Volume 1 - Issue 1 > Dental Extraction in a Child with Chronic Idiopathic Thrombo...
A&A Case Reports:
doi: 10.1097/ACC.0b013e31828cbb05
Case Reports: Case Report

Dental Extraction in a Child with Chronic Idiopathic Thrombocytopenia Purpura: Are Preoperative Platelet Transfusions Necessary?

Tay, Stanley MBBS, BMedSc*; Szabo, Ferenc MD, FRACP, FRCPA, MAppSc; Spain, Brian MBBS, FANZCA, MRCA, DipRACOG*

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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 × 109 L−1. 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.

© 2013 International Anesthesia Research Society

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