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Newton J. Coker, MD; Paul F. Milner, MD

Arch Otolaryngol. 1982;108(9):574-576.

Abstract
• Between July 1977 and October 1981, nine patients with sickle cell anemia underwent tonsillectomy or tonsillectomy with adenoidectomy without operative or postoperative morbidity or mortality. Appropriate management is necessary to prevent vaso-occlusive events. The current protocol for elective surgery used at the Medical College of Georgia, Augusta, consists of the following: (1) preoperative transfusion and hydration, (2) intraoperative prevention of hypothermia and maintenance of blood volume, and (3) postoperative oxygen therapy and hydration. The critical requirement of this protocol is the preoperative transfusion of these patients with packed cells consisting of hemoglobin A erythrocytes to lower the percentage of Hb S to less than 45% as determined by quantitative hemoglobin electrophoresis.

(Arch Otolaryngol 1982;108:574-576)

Author Affiliations
From the Departments of Otolaryngology (Dr Coker) and Medicine and Pathology, Sickle Cell Clinic (Dr Milner), Medical College of Georgia, Augusta.

Footnotes
Accepted for publication May 28, 1982.

Read before the 75th annual scientific assembly of the Southern Medical Association, New Orleans, Nov 16, 1981.

Reprint requests to Department of Otolaryngology, CJ-345 Medical College of Georgia, Augusta, GA 30912 (Dr Coker).

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