Huynh-Moynot Sophie, Moynot Jean-Clair, Commandeur Diane, Danguy Des Deserts Marc, Montelescaut Etienne, Kenane Nadia, Drouillard Isabelle
Fédération d'anesthésie-réanimation et des urgences.
Ann Biol Clin (Paris). 2011 Nov-Dec;69(6):679-84. doi: 10.1684/abc.2011.0633.
Sickle cell disease is the genetic disease most frequently detected at birth in France. The comprehension and knowledge of its pathophysiology allow to establish the principles of management for the drepanocytic patient, especially in the perioperative phase. In the light of recent recommendations published for anesthesia of a drepanocytic adult, this clinical case revealed allows to reexamine that subject, with a focus on biological aspects, which are transfusional strategy and antibioprophylaxy. The presented observation is a concrete feature of daily collaboration between clinician and biologist, which is an essential point of the ISO standard EN 15189 concerning laboratories' accreditation.