Anesthetic management in Jehovah’s Witness patient underwent acetabular fractures surgery
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Abstract
Acetabular fractures surgery is a complex procedure with a high risk of significant blood loss. Anesthesia management for Jehovah's Witness patients, who hold a core belief of refusing blood transfusions, presents a challenging task for anesthesiologists. The role of the anesthesiologist extends beyond just providing anesthesia; it also involves important responsibilities such as monitoring, controlling blood pressure, maintaining the function of vital organs, and addressing any complications that arise during the surgery. This case report aims to present a study highlighting the dilemma between healthcare professionals' concerns about patient safety and respecting the patient's rights, along with approaches to minimizing perioperative blood loss, which requires multidisciplinary collaboration since preoperative preparation, special techniques during the surgery, and postoperative care.
Keywords: acetabular fractures, anesthesia, Jehovah’s Witness
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บทความที่ได้รับการตีพิมพฺเป็นลิขสิทธิ์ของวารสาร
References
JW.ORG. Jehovah’s Witnesses Around the World. {Online}, 2025 April 2. : https://www.jw.org/en/jehovahs-witnesses/worldwide/TH/
Klein AA, Bailey CR, Charlton A, et al. Association of Anaesthetists:anaesthesia and peri-operative care for Jehovah’s Witnesses and patients who refuse blood. Anaesthesia.2018;74(1)74-82.
JW.ORG. Clinical strategies for avoiding and controllinghemorrhage and anemia without blood transfusion in surgical patients. {Online}, 2025 April 2. :https://www.jw.org/en/medical-library/medical-information/perioperative-care-anesthesiology/
Wujtewicz M. Perioperative strategies in patients who refuse blood product transfusion. POL PRZEGL CHIR. 2020;92(5):43-9.
Shah J, Fitz-Henry J. peri-operative care series. Ann R Coll Surg Engl. 2011;93:429-31.
Raksamani K, Pongraweewan O, Jirachaipitak S. Anesthesia for Jehovah’s Witness with critical anemia from ruptured stomach GIST. Siriraj Med J. 2010;62:215-6.
The Royal College of Surgeons. Caring for patients who refuse blood. {Online}, 2025 April 7. :https://www.rcseng.ac.uk/-/media/Files/RCS/Standards-and-research/Standards-and-policy/Good-Practice-Guides/New-Docs-May-2019/RCS-_Caring-for-Patients-Refuse-Blood.pdf
Haratian A, Shelby T, Hasan L K, Bolia I K, Webwe A E, Petrigliano F A. Utilzation of Tranexamic acid in surgical orthopaedic practice: Indication and current considerations. Orthopedic Research and Reviews. 2021;13:187-99.
Tegegne SS, Gebregzi AH, Arefayne NR. Deliberate hypotension as mechanism to decrease intraoperative surgical site blood loss in resource limited setting: A systematic review and guideline. Internal Journal of Surgery Open. 2021;29:55-65.
Perini FV, Montano-Pedroso JC, Oliveira LC, et al. Acute normovolemic hemodilution and intraoperative autotransfusion.Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management. Hematol Transfus Cell Ther. 2024;46(s1):S48-S52.
Lawal QO, Momoh MO, Okome GB, Okpunu CE, Ikhifa CE, Arebun J. Utilization acute normovolemic hemodilution for blood conservation in myomectomy for Jehovah’s witness: A case report. SAGE Open Medical Case Reports. 2024;12:1-4.
Klein AA, Bailey CR, Charlton AJ, et al. Association of Anaesthetists guideline: cell salvage for peri-operative blood conservation 2018.Anaesthesia. 2018;73:1141-50.
