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Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
Published on: March 14, 2017
[Treatment of severe anaemia in patients who refuse blood transfusion]
Kristian Lorentzen1, Bjarne Kjær, Karsten Skovgaard Olsen
1Anæstesiologisk Afdeling Y, Glostrup Hospital, Nordre Ringvej 57, 2600 Glostrup. kristian.l@dadlnet.dk.
In situations involving serious bleeding and anaemia, a refusal of blood transfusion puts the clinician in an ethical and medical dilemma, as standard treatment is not an option, and the patient risks dying of a potentially reversible cause. This status article describes methods of treatment under the concept of "bloodless medicine", where surgical and supportive techniques are used to manage and treat severe anaemia.
In situations involving serious bleeding and anaemia, a refusal of blood transfusion puts the clinician in an ethical and medical dilemma, as standard treatment is not an option, and the patient risks dying of a potentially reversible cause. This status article describes methods of treatment under the concept of "bloodless medicine", where surgical and supportive techniques are used to manage and treat severe anaemia.
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