• A&A practice · Apr 2019

    Case Reports

    Anesthesia Experience for Tonsillectomy in a Patient With Hypofibrinogenemia: A Case Report.

    • Mariko Aoki, Yoshimune Osaka, Kamon Ando, and Yoshihisa Morita.
    • From the Department of Anesthesiology, Kawasaki Municipal Hospital, Kawasaki City, Kanagawa, Japan.
    • A A Pract. 2019 Apr 15; 12 (8): 259-260.

    AbstractA 26-year-old male patient with hypofibrinogenemia was scheduled to undergo tonsillectomy. Hypofibrinogenemia, defined as low plasma fibrinogen (Fbg) concentration, is a type of congenital Fbg deficiency and is a rare coagulopathy. Perioperative replenishment of Fbg is performed during minor surgeries, aimed at maintaining plasma Fbg concentrations of 50 mg/dL. In this case, failure to replenish Fbg during the postoperative period may have caused the postoperative hemorrhage. Considering the half-life of Fbg (3-4 days), the plasma Fbg concentration should be monitored for ≥6 postoperative days, aiming at a target level of 50 mg/dL during the postoperative period.

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