Perioperative Jehovah's Witnesses: a review

被引:39
|
作者
Lawson, T. [1 ]
Ralph, C. [2 ]
机构
[1] Derriford Hosp, Dept Anaesthesia, Plymouth PL6 8DH, Devon, England
[2] Royal Cornwall Hosp, Dept Anaesthesia, Truro, Cornwall, England
关键词
blood; coagulopathy; ethics; Jehovah's Witness; transfusion; RECOMBINANT FACTOR VIIA; ACUTE NORMOVOLEMIC HEMODILUTION; BLOOD CONSERVATION STRATEGY; MAJOR OBSTETRIC HEMORRHAGE; CARDIAC-SURGERY; DOUBLE-BLIND; CONTROLLED HYPOTENSION; LIVER-TRANSPLANTATION; POSTPARTUM HEMORRHAGE; TRANSFUSION PRACTICE;
D O I
10.1093/bja/aev161
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
There are many patient groups who may refuse blood products; the most well known amongst them is the Jehovah's Witness faith. Treatment of anaemia and bleeding in such patients presents a challenge to medical, anaesthetic, and surgical teams. This review examines the perioperative issues and management of Jehovah's Witnesses. The history and beliefs of Jehovah's Witnesses are outlined together with their impact on ethics and the law, and different management options throughout the perioperative period are discussed.
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页码:676 / 687
页数:12
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