Abstract
Jehovah witnesses refuse transfusion of labile blood products. This is the reason
why blood conserving procedures must be implemented when high bleeding risk surgery is required. Management of these patients consists in a multidisciplinary approach involving the anesthesiologist, intensivist, surgeon, and general practitioner. The procedures have to be initiated as soon as possible and be pursued during the entire hospitalization, while following a specific legal framework. This article provides a series of rules enabling doctors to properly care for their patients.
why blood conserving procedures must be implemented when high bleeding risk surgery is required. Management of these patients consists in a multidisciplinary approach involving the anesthesiologist, intensivist, surgeon, and general practitioner. The procedures have to be initiated as soon as possible and be pursued during the entire hospitalization, while following a specific legal framework. This article provides a series of rules enabling doctors to properly care for their patients.
Translated title of the contribution | Management of Jehovah’s witnesses before, during and after high bleeding risk surgery |
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Original language | French |
Pages (from-to) | 562-573 |
Number of pages | 12 |
Journal | Louvain Medical |
Volume | 136 |
Issue number | 10 |
Publication status | Published - 31 Dec 2017 |
Bibliographical note
I especially want to thank Professor Patrice Forget who has always encouraged and guided me in the design and implementation of this work, and without whom nothing would have been possible.I would like to thank Professor Mona Momeni for her support, her help, the interest and the time she devoted to my work.
Finally, I would like to thank Professors Hermans and Jabbour for their valuable advice.
The authors have no conflict of interest to declare.
Keywords
- Jehovah's Witnesses
- Surgery
- Hemorrhagic Risk
- Blood Saving Strategies
- Pre- and Postoperative Management
- Haemostasis
- Antiplatelet Agents
- Anticoagulants
- Erythropoietin
- Medical-Surgical Team
- Psychological Background
- Legal Framework