We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Anesthetic management using peripheral nerve block in patients with factor XI deficiency: a case report.
- Authors
Yoshikawa, Sachio; Kumano, Isao; Satoh, Yasushi; Yufune, Shinya
- Abstract
Factor XI deficiency is rare but may cause life-threatening bleeding during the perioperative period. The clinical manifestation of factor XI deficiency is characterized by bleeding tendency. This unpredictable bleeding tendency makes anesthetic management difficult. We report a case of a partial duodenectomy in a patient with factor XI deficiency. The patient was scheduled for duodenectomy because of a duodenal tumor. When checked for coagulation before surgery, the patient was found to have a remarkably prolonged activated partial thrombin time, and further investigation revealed factor XI deficiency. Fresh frozen plasma was transfused before surgery, and general anesthesia and peripheral nerve block were performed. In the present case of factor XI deficiency, supplementation with clotting factor and proper anesthetic management were important to prevent severe complications.
- Subjects
NERVE block; HEMORRHAGE risk factors; CASE studies; ANESTHESIOLOGY; GLYCOPROTEINS; BLOOD plasma; TRANSPLANTATION of organs, tissues, etc.
- Publication
JA Clinical Reports, 2016, Vol 2, Issue 1, p1
- ISSN
2363-9024
- Publication type
Article
- DOI
10.1186/s40981-016-0047-4