Anaesthesia Management of Patient with Idiopathic Thrombocytopenic Purpura - A Case Series

Idiopathic thrombocytopenic Purpura (ITP) is an autoimmune disorder where platelets are being destroyed prematurely by the reticuloendothelial system. Here we described perioperative management of two patients suffering from ITP with cancer undergoing surgery. Anaesthesia management of a patient with severe thrombocytopenic purpura includes the institution of general anaesthesia, platelet transfusion preferably single donor to prevent allo-immunization, intravenous immune-globulin or steroid to cut platelet destruction, monitoring for haemorrhagic complications, abstinence from use of no steroidal anti-inflammatory drug(NSAIDs) or other platelet lowering drugs and avoidance of airway trauma, nasal intubations and intramuscular injections.