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Ann R Coll Surg Engl · Jan 2005
ReviewHow to approach major surgery where patients refuse blood transfusion (including Jehovah's Witnesses).
- M S Gohel, R A Bulbulia, F J Slim, K R Poskitt, and M R Whyman.
- Department of Vascular Surgery, Cheltenham General Hospital, Sandford Road, Cheltenham, Gloucestershire GL53 7AN, UK.
- Ann R Coll Surg Engl. 2005 Jan 1;87(1):3-14.
AbstractJehovah's Witnesses do not permit the use of allogeneic blood products. An increasing number of patients are refusing blood transfusion for non-religious reasons. In addition, blood stores are decreasing, and costs are increasing. Transfusion avoidance strategies are, therefore, desirable. Bloodless surgery refers to the co-ordinated peri-operative care of patients aiming to avoid blood transfusion, and improve patient outcomes. These principles are likely to gain popularity, and become standard practice for all patients. This review offers a practical approach to the surgical management of Jehovah's Witnesses, and an introduction to the principles of bloodless surgery that can be applied to the management of all patients.
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