Errors during paediatric cardiac anaesthesia : reporting and learning

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Gangwani, Amarlal
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We report a case of 66-year-old male patient with severe Aortic stenosis who underwent Aortic Valve replacement. This patient was also diagnosed with Myelodysplastic syndrome (MDS) during the admission. The perioperative management was challenging because of associated anaemia, pancytopenia and immunosuppression. These patients also have the tendency to bleed not only due to associated thrombocytopenia but also due to the cardiopulmonary bypass related coagulopathy. A through preoperative assessment and intensive preparation of the patient was done before taking him to the operating room. There was an effective communication and cooperation between surgeon, anaesthetist and hematologist at every stage of management due to which we were able to manage this patient successfully.Keywords: Myelodysplastic syndrome, Aortic Valve replacement, pancytopenia, cardiac surgery