American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 29, Issue 4 , Pages 270-278, July 2008

Management of Jehovah's Witnesses in otolaryngology, head and neck surgery

Department of Otolaryngology, Head and Neck Surgery, Health Service Executive, Midwestern Regional Hospital, Limerick, Ireland

Received 22 December 2006 published online 20 March 2008.

Abstract 

It is imperative that surgeons should have some knowledge and understanding of the beliefs of Jehovah's Witnesses to respect the patient's wishes and effectively minimize and manage blood loss. The objective of this review was to provide a management strategy for Jehovah's Witness patients undergoing otolaryngology, head and neck surgery, because there is paucity of information regarding this within our literature. A systematic review of medical literature was conducted. Articles were identified using MEDLINE (1966-2007). The search strategy used Medical Subject Heading terms Jehovah's Witnesses, Beliefs, Ethical and Legal issues, Blood transfusion alternatives, ENT, Head and Neck surgery in Jehovah' witnesses. There is a broad range of nonblood surgical management strategies available in other specialities, making major surgery possible within this population. This review suggests recommendations in elective surgery, trauma, and emergencies.

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 This review was presented at the Sylvester O'Halloran Surgical Scientific Meeting—Head and Neck section on March 4, 2006.

PII: S0196-0709(07)00117-2

doi:10.1016/j.amjoto.2007.08.006

American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 29, Issue 4 , Pages 270-278, July 2008