Anesthetic Management of Two Pregnant Patients With Chronic Myeloid Leukemia: Two Case Reports.
Jordan Hamilton, Kate M Chipperfield, Robert A Schmidt et al.
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Case in brief
Two pregnant patients with chronic myeloid leukemia (CML) underwent individualized anesthetic management based on their disease status. One patient received systemic analgesia due to concerns of molecular relapse, while the other was administered spinal anesthesia during deep molecular remission. Both patients had uncomplicated deliveries, and molecular remission was confirmed at one-year follow-up.
Diagnostic / clinical pearl
Anesthetic management in pregnant patients with chronic myeloid leukemia should be tailored to the patient's disease status, particularly regarding the risk of leukemic cell dissemination.