{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:59:49Z","timestamp":1740175189462,"version":"3.37.3"},"reference-count":10,"publisher":"The Korean Society of Anesthesiologists","issue":"1","license":[{"start":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T00:00:00Z","timestamp":1673308800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["anesth-pain-med.org"],"crossmark-restriction":true},"short-container-title":["Anesth Pain Med"],"published-print":{"date-parts":[[2023,1,31]]},"abstract":"<jats:p>Background: Pre-anesthetic evaluation is an important aspect of perioperative patient management. However, anesthesiologists often encounter challenges during anesthesia due to conditions that are not detected during pre-anesthetic evaluations.Case: Case 1 involved a 74-year-old female patient scheduled for cranioplasty and meningioma excision. Severe pancytopenia was detected during anesthesia. Cranioplasty was only performed, the surgery was terminated, and drug-induced pancytopenia was diagnosed and treated. The pre-anesthetic test results were normal, except for anemia. Case 2 involved a 71-year-old male patient who discovered large ecchymosis during general anesthesia preparation in the operating room for choledochal cyst surgery. Surgery was canceled to evaluate the bleeding tendency, and acquired coagulation factor VIII deficiency was diagnosed and treated. The pre-anesthetic tests were normal, except for prolongation of the activated partial thromboplastin time.Conclusions: Abrupt hematologic and hemostatic changes may occur during anesthesia even though pre-anesthetic evaluation findings are normal.<\/jats:p>","DOI":"10.17085\/apm.22236","type":"journal-article","created":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T05:35:06Z","timestamp":1673328906000},"page":"92-96","update-policy":"https:\/\/doi.org\/10.17085\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Severe pancytopenia and coagulopathy discovered during anesthesia after pre-anesthetic evaluation \u2013 A report of two cases \u2013"],"prefix":"10.17085","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2507-6629","authenticated-orcid":true,"given":"Hyun Joo","family":"Heo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3455-9251","authenticated-orcid":true,"given":"Yu Yil","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3269-3844","authenticated-orcid":true,"given":"Ji Hye","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6653-7578","authenticated-orcid":true,"given":"Hyung Gu","family":"Cho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0621-9655","authenticated-orcid":true,"given":"Geonbo","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2573","reference":[{"key":"ref1","first-page":"522","volume-title":"Practice advisory for preanesthesia evaluation: an updated report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation","author":"Apfelbaum","year":"2012"},{"key":"ref2","first-page":"407","volume-title":"Pre-operative evaluation of adults undergoing elective noncardiac surgery: updated guideline from the European Society of Anaesthesiology","author":"De Hert","year":"2018"},{"key":"ref3","first-page":"i3292","volume-title":"Routine preoperative tests for elective surgery: summary of updated NICE guidance","author":"O'Neill","year":"2016"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ebcr.2015.06.001"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.3994"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2004.03378.x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1155\/2009\/495863"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.7326\/aimcc.2022.0115"},{"key":"ref9","first-page":"e4688","volume-title":"A case of confirmed ceftriaxone-induced immune thrombocytopenia","author":"Piedra Abusharar","year":"2019"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1186\/s40164-017-0068-3"}],"container-title":["Anesthesia and Pain Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/anesth-pain-med.org\/upload\/pdf\/apm-22236.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/anesth-pain-med.org\/journal\/view.php?doi=10.17085\/apm.22236","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/anesth-pain-med.org\/upload\/pdf\/apm-22236.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T00:34:06Z","timestamp":1675125246000},"score":1,"resource":{"primary":{"URL":"http:\/\/anesth-pain-med.org\/journal\/view.php?doi=10.17085\/apm.22236"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,31]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"URL":"https:\/\/doi.org\/10.17085\/apm.22236","relation":{},"ISSN":["1975-5171","2383-7977"],"issn-type":[{"type":"print","value":"1975-5171"},{"type":"electronic","value":"2383-7977"}],"subject":[],"published":{"date-parts":[[2023,1,31]]},"assertion":[{"value":"2022-09-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-10","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}