What is the best way to prepare children with von Willebrand disease for tonsillectomy to reduce the risk of post-operative hemorrhage?
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Do you routinely use anti-fibrinolytic agents post-tonsillectomy for children with von Willebrand disease?
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1 Answer
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...
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