Abstract :
Von Willebrand disease(vWD) is a common hemostatic disorder encountered inobstetric anesthesia practice. This needs appropriate pre-operative evaluation to choose the best technique of anesthetic management. Evaluation needs to be individualized to consider the risk and benefits of each technique, either general or neuraxial anaesthesia. There are only a few published cases on use of spinal anesthesia in vWD patients for caesarean delivery. We present a case of vWD patient who was given spinal anesthesia for emergency caserean delivery. We were not able to determine the type of the disease, but based on clinical features it was assumed to be of type I or II. Intranasal desmopressin was given as bleeding prophylaxis. Anaesthetic considerations and peri-operative management are discussed.
Keyword :
Von Willebrand’s disease(vWD); Caesarean section; Anesthesia.