What is the best way to prepare children with von Willebrand disease for tonsillectomy to reduce the risk of post-operative hemorrhage?

I am an adult provider, but the treatment is similar regardless of age. The exact treatment plan will vary depending on the type and severity of VWD (i.e., mild type 1 VWD vs type 2B VWD); however, for tonsillectomies, I provide VWF concentrate 40-80 IU/kg 5-30 min preoperatively, followed by postop...

I'm a pediatric hematologist at the Western Michigan HTC. I do give replacement VWB factor beforehand, keep them overnight, and provide a dose the next day. I then see them in clinic about a week later for another dose (since the eschar tends to fall off about that time), but don't give factor days ...