Peri-Operative Management of a Patient with Sickle Cell Disease for Total Hip Replacement: Case Report

Author(s): Bhuvanshyam J Bhaktavatsalam, Divya Iyer, Alexander Marfin

Introduction: Sickle cell disease is an inherited disorder, with multiorgan dysfunction resulting from vaso-occlusion and chronic haemolysis. Avascular necrosis of long bones is a known complication. Anaesthetists are frequently involved throughout perioperative period, which involves preoperative assessment, management of acute pain and prevention of postoperative complications.

Case presentation: We report a case of a 56 year old female patient with sickle cell disease who underwent total hip replacement for avascular necrosis of femoral head under spinal anaesthesia combined with general anaesthesia.

Conclusion: Meticulous perioperative care which includes careful planning, ensuring adequate oxygenation, hydration, tissue perfusion and pain control is vital in successful management of these patients.