To present the anesthetic management of a patient with type 2 von Willebrand disease undergoing transsphenoidal surgery for a pituitary neuroendocrine tumor.
Approach:
Multidisciplinary Strategy: A multidisciplinary approach was implemented, including hemodynamic monitoring and targeted replacement of VWF/FVIII concentrate calculated according to plasma levels.
Key Findings:
The patient had a favorable postoperative course with no complications.
Individualized planning based on ASH-ISTH-NHF-WFH guidelines was crucial.
Interpretation:
The case illustrates the importance of tailored anesthetic management in patients with von Willebrand disease undergoing high-complexity surgeries.
Limitations:
Limited literature on neuroanesthetic management of patients with VWD.
Conclusion:
This case emphasizes the need for comprehensive management strategies in patients with VWD undergoing neurosurgery.
