title: Management of surgical patients with bleeding disorders.
abstract: Invasive procedures for patients with bleeding disorders require planning on the part of the health care team. The patient population affected involves those with hereditary bleeding disorders, such as von Willebrand disease or hemophilia; in addition, patients who use antithrombotic drugs must be considered and their care managed. The choice of treatment depends on a number of factors, including the procedure planned, the type and severity of the disorder, and the age and morbidity of the patient. The indications, dosing, and timing of presurgical and surgical interventions will be reviewed, as well as special considerations for vascular access devices.
authors.affiliation: Children's Mercy Hospital, Kansas City, Missouri. Judy Kauffman, MS, RN, CPNP, is a registered nurse and pediatric nurse practitioner who specializes in hemophilia and other bleeding disorders. She has been a hemophilia nurse practitioner at Children's Mercy Hospital in Kansas City, Missouri, for more than 7 years, providing direct care and care coordination for more than 500 patients with bleeding disorders. She has conducted hemophilia research and quality improvement projects and is a published author in the field of bleeding disorders. Kauffmann volunteers on the National Hemophilia Foundation's Nurse Working Group and with the Midwest Hemophilia Association. She is also a member of several hemophilia nurse speaker panels and is on the editorial review board for HemAware magazine.
authors.forename: Judy
authors.initials: J
authors.lastname: Kauffman
mesh_terms: D001778:Blood Coagulation Disorders / Q000601:surgery* / Q000628:therapy; D006801:Humans; D013514:Surgical Procedures, Operative