• A&A practice · Apr 2019

    Case Reports

    Bovine Hemoglobin-Based Oxygen Carrier Treatment in a Severely Anemic Jehovah's Witness Patient After Cystoprostatectomy and Nephrectomy: A Case Report.

    • Ian Brotman, Matthew Kocher, and Stephen McHugh.
    • From the Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
    • A A Pract. 2019 Apr 1; 12 (7): 243-245.

    AbstractPatients who are Jehovah's Witnesses are known to the medical community for frequently declining blood products, even at times of life-threatening anemia. Alternatives to red blood cell transfusion are being developed, including hemoglobin (Hb)-based oxygen carriers. We present the case of a 77-year-old male Jehovah's Witness who underwent a cystoprostatectomy and radical nephrectomy with a postoperative Hb nadir of 4.5 g/dL. He received an Hb-based oxygen carrier, PEGylated carboxyhemoglobin bovine (Sanguinate), with gradual improvement in anemia symptoms and eventual discharge to a short-term rehabilitation facility.

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