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Anesth Analg 1976; 55:346-349
© 1976 International Anesthesia Research Society
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Unrelenting Hypotension Associated with an Acute Abdomen in a Comatose Hemophiliac Child

A Case Report

ROBERT W. VAUGHAN, MD*, SUSAN L. WILSON, MD{dagger}, and LAWRENCE S. WALDBAUM, MD{ddagger}

*Associate Professor of Anesthesiology. Department of Anesthesiology. Washingtcn University School of Medicine.St. Louis, Missouri 63110. {dagger}Assistant Prcfessor. Department of Anesthesiologv, Wadsworth VA Hospital. Los Angeles. California. Department of Anesthesiology. Washingtcn University School of Medicine.St. Louis, Missouri 63110. {ddagger}Resident. Barnes Hospital. Department of Anesthesiology. Washingtcn University School of Medicine.St. Louis, Missouri 63110.

Abstract

A comatose 4-year-old hemophiliac presented with an acute abdomen; subsequently he devel- oped unrelenting hypotension. An immediate exploratory laparotomy was required, without time for determining baseline factor VIII (AHF) le\ els. Despite hypotension and hemorrhage, vigorous intraoperative fluid volume replacement and the administration of fresh frozen plasma and AHF concentrates brought a successful conclusion.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 1976 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1976 by the International Anesthesia Research Society.