Anesthetic management in cardiovascular surgery for 46 patients with Jehovah' Witnesses

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  • Abe Kazuo
    Department of Anesthesiology, Higashi Takarazuka Satoh Hospital
  • Satoh Hisashi
    Cardiovascular Surgery, Higashi Takarazuka Satoh Hospital
  • Satoi Akiko
    Department of Anesthesiology, Higashi Takarazuka Satoh Hospital
  • Kondoh Haruhiko
    Cardiovascular Surgery, Higashi Takarazuka Satoh Hospital

Bibliographic Information

Other Title
  • 人工心肺下に心臓血管手術を施行したエホバの証人46例の麻酔経験
  • 症例報告 人工心肺下に心臓血管手術を施行したエホバの証人46例の麻酔経験
  • ショウレイ ホウコク ジンコウ シンハイ カ ニ シンゾウ ケッカン シュジュツ オ シコウ シタ エホバ ノ ショウニン 46レイ ノ マスイ ケイケン

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Abstract

<p> Background: Jehovah's Witnesses are widely known for their prohibition on the acceptance of blood transfusion.. Especially, cardiovascular surgery in Jehovah's Witnesses poses unique challenges.</p><p> Case presentation: We report 46 Jehovah's Witnesses who underwent cardiovascular surgery under cardio-pulmonary bypass between 2001 and 2015. The operative procedures included 3 coronary bypass graft surgeries, 22 valve procedures, 19 aortic surgeries, and 2 ventricular septal perforation. Elective surgery was 31 cases and emergent surgery was 15 cases. Operative time was 307±115 minutes, anesthetic time was 379±117 minutes, cardiopulmonary bypass time was 148±77 minutes, and aortic cross clamp time was 88±37 minutes. Intraoperative hemoglobin (g/dL) nadir was 6.1±2.0, and postoperative hemoglobin nadir was 6.7±2.0. The fatal case within 24 hours after cardiovascular surgery was 2 patients.</p><p> Conclusions: We did not transfuse packed red blood cell, fresh frozen plasma and platelets. Bloodless cardiovascular surgery in Jehovah's Witness patients was performed in both elective and urgent situations.</p>

Journal

  • Cardiovascular Anesthesia

    Cardiovascular Anesthesia 20 (1), 87-91, 2016

    Japanese Society of Cardiovascular Anesthesiologists

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