Cirugía cardiaca sin sangre en testigos de Jehová: resultados frente a grupo control

Reyes, Guillermo; Nuche, J.M.; Sarraj, A.; Cobiella, Javier; Orts, M. J.; Martín, Gabriel; Celemín, R. Martín; Montalvo, Elena Campo; Martínez-Elbal, Luis; Ding, Juan

doi:10.1157/13108278

Cited by 39 publications

(1 citation statement)

References 9 publications

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“…In previous cardiac surgery studies, the mortality and complication rates in Jehovah's Witness groups were similar to those of control groups, with Jehovah's Witness group having fewer hours of intubation, less blood loss over 24 hours, shorter intensive care unit length of stay and shorter total hospital stay [13-15]. In Korea, many surgeries proceed without blood transfusion for religious or medical reasons, but such procedures are rare in infants less than 3 kg.…”

Section: Discussionmentioning

confidence: 83%

Transfusion-free anesthetic management for open heart surgery in a neonate -A case report-

Lee

Byon

Kim

et al. 2010

Korean J Anesthesiol

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In small infants or neonates, open heart surgery without transfusion can have many risks regarding inadequate oxygen delivery and coagulopathy. However, if parents refuse blood transfusion, cardiac surgery without transfusion should be considered. We report a case of bloodless cardiac surgery in a 2.89 kg neonate with Jehovah's Witness parents. Blood conserving strategies were used. Preoperatively, erythropoietin and iron were supplemented to increase the hemoglobin level. Intraoperatively, techniques for minimizing blood loss were used, such as reducing priming volume for cardiopulmonary bypass, a blood salvage system, and modified ultrafiltration. Postoperatively, pharmacologic agents were administered and blood sampling was minimized.

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Section: Discussionmentioning

confidence: 83%