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Colombian Journal of Anestesiology
Print version ISSN 0120-3347
Abstract
CHAPARRO-MENDOZA, Katheryne; PRADO-GOMEZ, Nathalia and ACEVEDO, Marcela. Challenging the management of bleeding and coagulopathy in ascending aortic surgery in a Jehovah's Witness patient: case report. Rev. colomb. anestesiol. [online]. 2019, vol.47, n.2, pp.132-136. Epub May 01, 2019. ISSN 0120-3347. https://doi.org/10.1097/cj9.0000000000000098.
Introduction:
Not transfusing in certain medical settings can be a life-threatening decision; however, Jehovah's Witness patients who reject transfusions have led to learning and multiple medical interventions to avoid it. Despite this, heart surgery follows a specialty that is clearly related to the risk of transfusion, making operating on a Jehovah's Witness patient a challenge.
Case presentation:
An ascending aorta surgery was performed on a Jehovah's Witness patient, where different strategies were applied, both for blood saving and for the prevention and management of coagulopathy.
Results:
Surgery of the ascending aorta with extracorporeal circulation was successfully performed without requiring administration of blood components.
Conclusions:
Adequate planning and implementation of bleeding prevention strategies and coagulopathy management may contribute to avoid and/or reduce the administration of blood products, allowing for the absence of transfusions to not be utopia in major cardiac surgery.
Keywords : Blood Transfusion; Hemorrhage; Jehovah's Witnesses; Case Reports; Blood Coagulation.