Anesthetic management for ascending aorta replacement in a patient who refused autologous transfusion for religious reasons.

Abstract:

:We report on the anesthetic management of a 69-year-old female Jehovah's Witness undergoing cardiopulmonary bypass to replace the ascending aorta; the patient refused transfusion of stored autologous or allogeneic blood products for religious reasons. The strategy involved preoperative hematopoiesis with recombinant human erythropoietin and iron, intraoperative acute normovolemic hemodilution, the use of a cell-saver system, administration of high-dose tranexamic acid, controlled hypotension, avoidance of low body temperature, simplification of the surgery, and lower blood dilution during cardiopulmonary bypass.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Obara S,Nakagawa M,Takahashi S,Akatu M,Isosu T,Murakawa M

doi

10.1007/s00540-009-0764-1

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

436-8

issue

3

eissn

0913-8668

issn

1438-8359

journal_volume

23

pub_type

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