Canterbury DHB

Context

Surgery

Note: Discuss all surgery with regional haematologist and individualise treatment. Refer liver or renal biopsy to regional haemophilia services.

In This Section

Minor Procedures - Endoscopy & Skin Lesions

Major Procedures - General or Orthopaedic Surgery

Minor Procedures - Endoscopy & Skin Lesions

Aim: To increase factor level to 50%.This is most easily achieved with a multiple dose schedule. Combine with an antifibrinolytic therapy.

Treatment Regimen

FVIII 25 to 30 u/kg, repeat dose at 24 hours and as required.

FIX 50 u/kg, repeat dose at 24 hours and as required.

Tranexamic acid 1 g three times a day, 7 to 14 days.

Topical agents as required.

Major Procedures - General or Orthopaedic Surgery

Consultation between blood centre, surgeon, and haematologist is essential.

Prepare a written management protocol.

Ensure appropriate target levels by factor-level monitoring.

Aim: To increase factor level to a target of 80 to 100% with trough level > 50%.

About this Canterbury DHB document (5246):

Document Owner:

Not assigned (see Who's Who)

Last Reviewed:

November 2019

Next Review:

November 2022

Keywords:

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Topic Code: 5246