Emergency Surgical Resection of Primary Pulmonary Artery Sarcoma Without Blood Transfusion

Shintani, Yasushi; Funaki, Soichiro; Ueno, Takayoshi; Kawagishi, Sachi; Sawa, Yoshiki

doi:10.1016/j.athoracsur.2020.03.068

Cited by 1 publication

(2 citation statements)

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“…These efforts in developing bloodless treatment options have resulted in patient blood management (PBM). Fortunately, many countries, including the USA, European nations, Australia, Japan and Korea, have reported significant results with bloodless treatments (5)(6)(7)(8)(9)(10)(11)(12). Here, we report the treatment of two JW patients without blood transfusion, and discuss strategies for reducing blood transfusions and how to manage JW patients.…”

Section: Case Reportmentioning

confidence: 99%

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Patient blood management when blood is not an option: a report of two cases

Jung¹,

Lee²,

Kang³

et al. 2022

Ann Palliat Med

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There are many patients who refuse to receive blood transfusions for religious or other reasons.Bloodless medicine and surgery are no longer new concept, but patients who refuse blood transfusion are still transferred to the bloodless center, regardless of patients' intention, for treatment. Here, we discuss the need for patient blood management when blood is not an option to treat them. Two patients of advanced age were transferred to our bloodless center due to refusal of transfusion. They are Jehovah's Witnesses and refused to receive blood transfusion despite life-threatening anemia and severe underlying diseases. Patient blood management protocols including iron supplementation, subcutaneous erythropoietin, folic acid and vitamin B were implemented to improve hematopoiesis, and supportive care was also performed to treat underlying diseases. Levels of Hemoglobin/Hematocrit and their symptom gradually improved about a week after treatment, and their condition had gradually stabilized. They were discharged safely. We treated patients of advanced age with severe underlying diseases and life-threatening anemia using patient blood management due to refusal of a blood transfusion. The patient blood management may be a useful alternative strategy, which meet the needs of patients who refuse blood transfusions as well as the need to reduce the use of blood products due to limited supply.

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Section: Case Reportmentioning

confidence: 99%

“…Her main symptom was dizziness, and she was transferred to our bloodless center due to refusal of a blood transfusion. Initial laboratory findings were hemoglobin (Hb), 4.5 g/dL; hematocrit (Hct), 13.4%; platelet count, 257×10 9 /L; blood urea nitrogen (BUN), 51.8 mg/dL; and creatinine (Cr), 1.5 mg/dL.…”

Section: Casementioning

confidence: 99%