Anesthetic Considerations for a Patient With Chronic Systemic Capillary Leak Syndrome: A Case Report. Issue 10 (15th November 2018)

• Record Type: Journal Article
• Authors: Datta, Resham; Panchamia, Jason K.
• Is Part Of: A & A practice. Volume 11:Issue 10(2018)
• Publication Date: 2018-11-15
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000808
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Systemic capillary leak syndrome (SCLS) is an idiopathic vascular hyperpermeability that leads to profound hypotension, hypoalbuminemia, and hemoconcentration. Sixty years since its inauguration into literature, SCLS is still elusive, underdiagnosed, and profoundly dangerous. Few authors have documented anesthetic implications of classical acute SCLS, a form with complete recovery between exacerbations. However, minimal information is available about chronic SCLS, continuous generalized edema with or without exacerbations. Both forms are postulated to have similar pathogenesis, yet clinical differences are noteworthy, warranting variations in perioperative management. We present a patient with chronic SCLS who underwent general and regional anesthesia for elective surgery.