Total Knee Arthroplasty in a Haemophiliac Patient - The Anaesthetic Challenges

Abstract

Background: Haemophilic patients develop chronic haemophilic arthropathy which needs joint replacement. Anaesthetic management of these cases is challenging and needs a multidisciplinary approach.  Case: Our patient was a case of severe haemophilia who was managed successfully with perioperative factor VIII infusions. Intraoperative blood pressure was maintained at baseline levels and haemostasis was ensured. Postoperative analgesia was managed with intravenous patient controlled analgesia. Conclusion: Management of haemophilic patients needs careful considerations. Postoperative analgesia is especially challenging due to limited options.