Anaesthetic Management of Child with Fanconi Anaemia for Emergency Lower Limb Surgery: A Case Report and Review of Literature

Fanconi anaemia is a rare, autosomal recessive bone marrow failure syndrome characterised by congenital anomalies and haematological abnormalities. Literature on anaesthetic management is limited due to its heterogeneous presentation and scarcity of clinical trials addressing anaesthetic considerations; with most information derived from case reports, we report successful anaesthetic management of a 7-year-old child with a history of allogeneic bone marrow transplant for correction of pancytopenia, presenting for an emergency lower limb surgery, emphasises the importance of meticulous perioperative care, an individualised plan focused on preventing and managing perioperative complications, is essential as these patients need as a thorough evaluation of congenital, syndromic and tumour-related complications as well as careful attention to haematological deficiencies.