title: [Continuous lumbar epidural anesthesia: insertion a patient with unrecognized classical hemophilia A].
abstract: This report describes a case where a continuous lumbar epidural anesthesia was inserted for an operation in a patient with classical hemophilia which was unknown at the time of catheter insertion. In addition to an exact description of the intervention, the anamnesis and laboratory contraindications for epidural anesthesia are discussed. Furthermore, the necessity of preoperative investigations and their value when an epidural anesthesia is planned are also discussed.
authors.affiliation: Abteilung Anästhesie, Intensiv- und Schmerztherapie, Kreiskrankenhaus Grünstadt, Westring 55, 67269 Grünstadt, Deutschland. Andreas.Bernhardt@krankenhausgruenstadt.de
authors.forename: A
authors.initials: A
authors.lastname: Bernhardt
authors.forename: C
authors.initials: C
authors.lastname: Bald
authors.forename: U
authors.initials: U
authors.lastname: Helfrich
authors.forename: H
authors.initials: H
authors.lastname: Haubelt
mesh_terms: D000369:Aged, 80 and over; D000767:Anesthesia, Epidural / Q000009:adverse effects; D002404:Catheterization; D000075202:Contraindications; D006467:Hemophilia A / Q000150:complications*; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative; D011229:Preanesthetic Medication; D012306:Risk