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Tay S, Szabo F, Spain B. Dental extraction in a child with chronic idiopathic thrombocytopenia purpura: are preoperative platelet transfusions necessary?. A A Case Rep. 2013;1(1):3-4doi: 10.1097/ACC.0b013e31828cbb05.
Tay, S., Szabo, F., & Spain, B. (2013). Dental extraction in a child with chronic idiopathic thrombocytopenia purpura: are preoperative platelet transfusions necessary?. A & A case reports, 1(1), 3-4. https://doi.org/10.1097/ACC.0b013e31828cbb05
Tay, Stanley, et al. "Dental extraction in a child with chronic idiopathic thrombocytopenia purpura: are preoperative platelet transfusions necessary?." A & A case reports vol. 1,1 (2013): 3-4. doi: https://doi.org/10.1097/ACC.0b013e31828cbb05
Tay S, Szabo F, Spain B. Dental extraction in a child with chronic idiopathic thrombocytopenia purpura: are preoperative platelet transfusions necessary?. A A Case Rep. 2013 Oct;1(1):3-4. doi: 10.1097/ACC.0b013e31828cbb05. PMID: 25611600.
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A A Case Rep. 2013 Oct;1(1):3-4. doi: 10.1097/ACC.0b013e31828cbb05.

Dental extraction in a child with chronic idiopathic thrombocytopenia purpura: are preoperative platelet transfusions necessary?.

A & A case reports

Stanley Tay, Ferenc Szabo, Brian Spain

Affiliations

  1. From the Departments of *Anesthesia and †Hematology, Royal Darwin Hospital, Darwin, Australia.

PMID: 25611600 DOI: 10.1097/ACC.0b013e31828cbb05

Abstract

Thresholds for platelet counts in patients at risk for bleeding are often used before surgery. We present a case report of a 13-year-old female with chronic idiopathic thrombocytopenia purpura for dental extraction with a platelet count of 4 × 10 L. Usually, therapies including platelet infusions, IV immunoglobulin, or corticosteroids would be used to increase platelet numbers. In this patient, rather than using any of these prophylactic therapies preoperatively, we used a "watchful waiting" strategy with a multidisciplinary team, the use of tranexamic acid and the aforementioned therapies available only as "rescue" agents.

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