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Coagulopathy after cardiopulmonary bypass in Jehovah's Witness patients: management of two cases using fractionated components and factor VIIa.

Publication ,  Journal Article
Sniecinski, RM; Chen, EP; Levy, JH; Szlam, F; Tanaka, KA
Published in: Anesth Analg
April 2007

BACKGROUND: Changes in the Jehovah's Witness (JW) blood refusal policy now give members the personal choice to accept certain processed fractions of blood, such as factor concentrates and cryoprecipitate. METHODS: Two JW patients undergoing complex aortic surgery who developed severe microvascular bleeding after prolonged use of cardiopulmonary bypass were treated with recombinant activated factor VII, cryoprecipitate, and antithrombin concentrate. RESULTS: Cardiopulmonary bypass-induced coagulopathy was successfully treated, allowing chest closure without evidence of thrombotic complications. CONCLUSIONS: Processed blood fractions can be a valuable adjuvant to drugs when treating bleeding in JW patients.

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Published In

Anesth Analg

DOI

EISSN

1526-7598

Publication Date

April 2007

Volume

104

Issue

4

Start / End Page

763 / 765

Location

United States

Related Subject Headings

  • United States
  • Religion and Medicine
  • Recombinant Proteins
  • Physician-Patient Relations
  • Patient Acceptance of Health Care
  • Middle Aged
  • Jehovah's Witnesses
  • Informed Consent
  • Humans
  • Fibrinogen
 

Citation

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Sniecinski, R. M., Chen, E. P., Levy, J. H., Szlam, F., & Tanaka, K. A. (2007). Coagulopathy after cardiopulmonary bypass in Jehovah's Witness patients: management of two cases using fractionated components and factor VIIa. Anesth Analg, 104(4), 763–765. https://doi.org/10.1213/01.ane.0000250913.45299.f3
Sniecinski, Roman M., Edward P. Chen, Jerrold H. Levy, Fania Szlam, and Kenichi A. Tanaka. “Coagulopathy after cardiopulmonary bypass in Jehovah's Witness patients: management of two cases using fractionated components and factor VIIa.Anesth Analg 104, no. 4 (April 2007): 763–65. https://doi.org/10.1213/01.ane.0000250913.45299.f3.
Sniecinski, Roman M., et al. “Coagulopathy after cardiopulmonary bypass in Jehovah's Witness patients: management of two cases using fractionated components and factor VIIa.Anesth Analg, vol. 104, no. 4, Apr. 2007, pp. 763–65. Pubmed, doi:10.1213/01.ane.0000250913.45299.f3.

Published In

Anesth Analg

DOI

EISSN

1526-7598

Publication Date

April 2007

Volume

104

Issue

4

Start / End Page

763 / 765

Location

United States

Related Subject Headings

  • United States
  • Religion and Medicine
  • Recombinant Proteins
  • Physician-Patient Relations
  • Patient Acceptance of Health Care
  • Middle Aged
  • Jehovah's Witnesses
  • Informed Consent
  • Humans
  • Fibrinogen