Journal of Anaesthesiology Clinical Pharmacology (Jan 2013)

Anesthetic management of a patient with hemophilia A with spontaneous acute subdural hematoma

  • Prakhar Gyanesh,
  • Sanjay Dhiraaj

DOI
https://doi.org/10.4103/0970-9185.105819
Journal volume & issue
Vol. 29, no. 1
pp. 117 – 120

Abstract

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Intracranial hemorrhage in patients with hemophilia is associated with high mortality and sequelae. We report the case of 50-year-old man with Hemophilia A, who presented with spontaneous acute subdural hematoma and underwent craniotomy for clot evacuation. The patient received Factor VIII infusions perioperatively along with other measures to decrease blood loss. The patient presented with signs of high intracranial tension and received 3% saline intraoperatively and postoperatively to prevent brain edema. Recommendations for perioperative preparation and management of hemophilia, especially in the setting of emergency major surgery are reviewed.

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