Mednet Logo
CommunityHematology

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

Community PollStarted

Do you routinely use anti-fibrinolytic agents post-tonsillectomy for children with von Willebrand disease?

18 physicians have voted

Join Mednetto vote and see how they answered.

1 Answer
Mednet Member
Mednet MemberInvited Expert
Hematology · University of Pittsburgh Medical Center
Answered on

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...

Join for free or sign in to see the full answer