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[Perioperative bleeding in a Jehovah's Witness].

S Heschl1, M Schörghuber2, W Kröll2

  • 1Univ.-Klinik für Anästhesiologie und Intensivmedizin, Medizinische Universität Graz, Auenbruggerplatz 29, 8036, Graz, Österreich. stefan.heschl@medunigraz.at.

Der Anaesthesist
|January 3, 2018
PubMed
Summary
This summary is machine-generated.

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Physicians faced ethical dilemmas managing perioperative bleeding in a Jehovah's Witness patient who refused blood transfusions. The patient recovered quickly despite critically low hemoglobin levels, demonstrating successful transfusion-free management.

Area of Science:

  • Medicine
  • Surgery
  • Transfusion Medicine

Background:

  • Jehovah's Witnesses' refusal of blood transfusions presents complex medical and ethical challenges for healthcare providers, particularly in managing perioperative bleeding.
  • Patient directives and religious beliefs necessitate alternative strategies for managing critical blood loss in specific patient populations.

Observation:

  • A 45-year-old male Jehovah's Witness underwent kidney transplant surgery.
  • The patient had a documented directive refusing red blood cell (RBC) transfusions.
  • Postoperative bleeding occurred, leading to critically low hemoglobin (3.1 g/dL) and hematocrit (9.5%) levels.

Findings:

  • The patient was successfully managed without any RBC transfusions, despite severe anemia.
  • The patient demonstrated a remarkably rapid recovery following the bleeding event.
Keywords:
AnemiaBlood transfusionJehovah’s WitnessesKidney transplantationPostoperative hemorrhage

Related Experiment Videos

  • Discharge occurred after 24 days with no adverse sequelae.

    • Implications:

    • This case highlights the feasibility of managing significant perioperative bleeding without RBC transfusions in Jehovah's Witness patients.
    • It underscores the importance of respecting patient autonomy and religious objections in medical decision-making.
    • Successful transfusion-free management can lead to favorable patient outcomes, even in critical situations.