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

Received 22 December 2006

References 

  1. Watch Tower Bible and Tract Society of New York, Inc . In: How can Blood save your life?. 1990;p. 1–31
  2. Krupp N, Weinstein G, Chalian A, et al. Validation of a transfusion prediction model in head and neck cancer surgery. Arch Otolaryngol Head Neck Surg. 2003;129(12):1297–1302
  3. Meyer J, Jeckstrom W, Ross D, et al. Incidence and clinical background of posttonsillectomy bleeding related blood transfusion over 12 years. Otolaryngol Pol. 2004;58(6):1065–1069
  4. Pollice P, Yoder M. Epistaxis: a retrospective review of hospitalized patients. Otolaryngol Head Neck Surg. 1997;117(1):49–53
  5. Goddard J, Reiter E. Inpatient management of epistaxis: outcomes and cost. Otolaryngol Head Neck Surg. 2005;132(5):707–712
  6. Genden E, Haughey B. Head and neck surgery in the Jehovah's Witness patient. Otolaryngol Head Neck Surg. 1996;114(4):669–672
  7. Van Hemelen G, Avery C, Venn P, et al. Management of Jehovah's Witness patients undergoing major head and neck surgery. Head Neck. 1999;21(1):80–84
  8. Watchtower Bible and Tract Society of New York, Inc . In: Year Book of Jehovah's Witnesses. 2005;p. 31
  9. Dixon J, Smalley M. Jehovah's Witnesses. The surgical/ethical challenge. JAMA. 1981;246(21):2471–2472
  10. Watchtower Bible and Tract Society of New York, Inc . In: The Watchtower. 2004 June 15;p. 19–24
  11. Smith M. Ethical perspectives on Jehovah's Witnesses' refusal of blood. Cleve Clin J Med. 1997;64(9):475–481
  12. Riley G, Simmonds R. Informed consent in modern medical practice. Med J Aust. 1992;157(5):336–338
  13. Shander A. Surgery without blood. Crit Care Med. 2003;31(12 Suppl):S708–S714
  14. Spence RK. The status of bloodless surgery. Transfus Med Rev. 1991;5(4):274–286
  15. Smoller B, Kruskall M, Horowitz G. Reducing adult phlebotomy blood loss with the use of pediatric-sized blood collection tubes. Am J Clin Pathol. 1989;91(6):701–703
  16. Maness C, Russell SM, Altonji P, et al. Bloodless medicine and surgery. AORN J. 1998;67(1):144–152
  17. Atabek U, Alvarez R, Pello M, et al. Erythropoetin accelerates hematocrit recovery in post-surgical anemia. Am Surg. 1995;61(1):74–77
  18. Sturgis E, Gianoli G, Miller R, et al. Avoiding transfusion in head and neck surgery: feasibility study of erythropoietin. Laryngoscope. 2000;110(1):51–57
  19. Turner R, Anglin P, Burkes R, et al. Canadian Cancer and Anemia Guidelines Development Group Epoetin alfa in cancer patients: evidence-based guidelines. J Pain Symptom Manage. 2001;22(5):954–965
  20. Charles A, Purtill M, Napolitano LM. Recombinant human erythropoietin in severe anaemia: issues of dosing and duration. Anaesth Intensive Care. 2006;34(6):793–796
  21. Goodnough L, Marcus R. Erythropoiesis in patients stimulated with erythropoietin: the relevance of storage iron. Vox Sang. 1998;75(2):128–133
  22. Breymann C, Richter C, Huttner C, et al. Effectiveness of recombinant erythropoietin and iron sucrose vs. iron therapy only, in patients with postpartum anaemia and blunted erythropoiesis. Eur J Clin Invest. 2000;30(2):154–161
  23. Helm RE, Rosengart TK, Gomez M, et al. Comprehensive multimodality blood conservation: 100 consecutive CABG operations without transfusion. Ann Thorac Surg. 1998;65(1):125–136
  24. Garcia-Erce JA, Cuenca J, Munoz M, et al. Perioperative stimulation of erythropoiesis with intravenous iron and erythropoietin reduces transfusion requirements in patients with hip fracture. A prospective observational study. Vox Sang. 2005;88(4):235–243
  25. Rohling RG, Zimmermann AP, Breymann C. Intravenous versus oral iron supplementation for preoperative stimulation of hemoglobin synthesis using recombinant human erythropoietin. J Hematother Stem Cell Res. 2000;9(4):497–500
  26. Remmers PA, Speer AJ. Clinical strategies in the medical care of Jehovah's Witnesses. Am J Med. 2006;119(12):1013–1018
  27. Smith SN, Milov DE. Use of erythropoietin in Jehovah's Witness children following acute gastrointestinal blood loss. J Fla Med Assoc. 1993;80(2):103–105
  28. Perez-Ferrer A, De Vicente J, Gredilla E, et al. Use of erythropoietin for bloodless surgery in a Jehovah's Witness infant. Paediatr Anaesth. 2003;13(7):633–636
  29. Weldon BC. Blood conservation in pediatric anesthesia. Anesthesiol Clin North America. 2005;23(2):347–361
  30. Fearon JA, Weinthal J. The use of recombinant erythropoietin in the reduction of blood transfusion rates in craniosynostosis repair in infants and children. Plast Reconstr Surg. 2002;109(7):2190–2196
  31. Rao SM. Blood conservation—how practical?. Indian J Anaesth. 2002;46(3):168–174
  32. Hack H, Mitchell V. Hypotensive anaesthesia. Br J Hosp Med. 1996;55(8):482–485
  33. Smith R, Meister R, Tsoi E, et al. Laparoscopically guided blood salvage and autotransfusion in splenic trauma: a case report. J Trauma. 1993;34(2):313–314
  34. Nieder AM, Carmack AJ, Sved PD, et al. Intraoperative cell salvage during radical prostatectomy is not associated with greater biochemical recurrence rate. Urology. 2005;65(4):730–734
  35. Nieder AM, Simon MA, Kim SS, et al. Intraoperative cell salvage during radical prostatectomy: a safe technique for Jehovah's Witnesses. Int Braz J Urol. 2004;30(5):377–379
  36. Nieder AM, Manoharan M, Yang Y, et al. Intraoperative cell salvage during radical cystectomy does not affect long-term survival. Urology. 2007;69(5):881–884
  37. Muscari F, Suc B, Vigouroux D, et al. Blood salvage autotransfusion during transplantation for hepatocarcinoma: does it increase the risk of neoplastic recurrence?. Transpl Int. 2005;18(11):1236–1239
  38. Futamura N, Nakanishi H, Hirose H, et al. The effect of storage on the survival of cancer cells in blood and efficient elimination of contaminating cancer cells by a leukocyte depletion filter. Am Surg. 2005;71(7):585–590
  39. Hansen E, Knuechel R, Altmeppen J, et al. Blood irradiation for intraoperative autotransfusion in cancer surgery: demonstration of efficient elimination of contaminating tumor cells. Transfusion. 1999;39(6):608–615
  40. Timberlake G, McSwain N. Autotransfusion of blood contaminated by enteric contents: a potentially life-saving measure in the massively hemorrhaging trauma patient?. J Trauma. 1988;28(6):855–857
  41. Bowley D, Barker P, Boffard K. Intraoperative blood salvage in penetrating abdominal trauma: a randomised, controlled trial. World J Surg. 2006;30(6):1074–1080
  42. Casati V, D'Angelo A, Barbato L, et al. Perioperative management of four anaemic female Jehovah's Witnesses undergoing urgent complex cardiac surgery. Br J Anaesth. 2007;99:349–352[Epub 2007 Jun 27].
  43. Kreimeier U, Messmer K. Hemodilution in clinical surgery: state of the art 1996. World J Surg. 1996;20(9):1208–1217
  44. Kreimeier U, Messmer K. Perioperative hemodilution. Transfus Apher Sci. 2002;27(1):59–72
  45. Gross JB. Estimating allowable blood loss: corrected for dilution. Anesthesiology. 1983;58(3):277–280
  46. Matot I, Scheinin O, Jurim O, et al. Effectiveness of acute normovolemic hemodilution to minimize allogeneic blood transfusion in major liver resections. Anesthesiology. 2002;97(4):794–800
  47. Moskowitz DM, Perelman SI, Cousineau KM, et al. Multidisciplinary management of a Jehovah's Witness patient for the removal of a renal cell carcinoma extending into the right atrium. Can J Anaesth. 2002;49(4):402–408
  48. Jabbour N, Gagandeep S, Mateo R, et al. Live donor liver transplantation without blood products: strategies developed for Jehovah's Witnesses offer broad application. Ann Surg. 2004;240(2):350–357
  49. Trouwborst A, van Woerkens EC, van Daele M, et al. Acute hypervolaemic haemodilution to avoid blood transfusion during major surgery. Lancet. 1990;336(8726):1295–1297
  50. Kumar R, Chakraborty I, Sehgal R. A prospective randomized study comparing two techniques of perioperative blood conservation: isovolemic hemodilution and hypervolemic hemodilution. Anesth Analg. 2002;95(5):1154–1161
  51. Mielke LL, Entholzner EK, Kling M, et al. Preoperative acute hypervolemic hemodilution with hydroxyethylstarch: an alternative to acute normovolemic hemodilution?. Anesth Analg. 1997;84(1):26–30
  52. Singbartl K, Schleinzer W, Singbartl G. Hypervolemic hemodilution: an alternative to acute normovolemic hemodilution? A mathematical analysis. J Surg Res. 1999;86(2):206–212
  53. Winter V, Gille J, Richter A, et al. Preoperative hypervolemic hemodilution with 6% hydroxyethyl starch 130/0,4 (HES 130/ 0.4) solution as a way of reducing needs for donor blood transfusion]. Anesteziol Reanimatol. 2006;(2):43–47
  54. Trouwborst A, Hagenouw RR, Jeekel J, et al. Hypervolaemic haemodilution in an anaemic Jehovah's Witness. Br J Anaesth. 1990;64(5):646–648
  55. Carroll T, Ladner K, Meyers A. Alternative surgical dissection techniques. Otolaryngol Clin North Am. 2005;38(2):397–411
  56. Metternich F, Sagowski C, Wenzel S, et al. Tonsillectomy with the ultrasound activated scalpel. Initial results of technique with Ultracision Harmonic Scalpel. HNO. 2001;49(6):465–470
  57. Wax M, Winslow C, Desyatnikova S, et al. A prospective comparison of scalpel versus bipolar scissors in the elevation of radial forearm fasciocutaneous free flaps. Laryngoscope. 2001;111(4 Pt 1):568–571
  58. Saleh H, Cain AJ, Mountain RE. Bipolar scissor tonsillectomy. Clin Otolaryngol Allied Sci. 1999;24(1):9–12
  59. Ward P, Castro D, Ward S. A significant new contribution to radical head and neck surgery. The argon beam coagulator as an effective means of limiting blood loss. Arch Otolaryngol Head Neck Surg. 1989;115(8):921–923
  60. Low Y, Goh Y. Intra-arterial embolisation in otolaryngology—a four-year review. Singapore Med J. 2003;44(1):35–38
  61. Henry DA, Moxey AJ, Carless PA, et al. Anti-fibrinolytic use for minimising perioperative allogeneic blood transfusion. Cochrane Database Syst Rev. 2001;(1):CD001886
  62. Ekback G, Axelsson K, Ryttberg L, et al. Tranexamic acid reduces blood loss in total hip replacement surgery. Anesth Analg. 2000;91(5):1124–1130
  63. Bidstrup BP, Hunt BJ, Sheikh S, et al. Amelioration of the bleeding tendency of preoperative aspirin after aortocoronary bypass grafting. Ann Thorac Surg. 2000;69(2):541–547
  64. Draf W. Experiences with fibrinogen glue in ENT surgery. Laryngol Rhinol Otol (Stuttg). 1980;59(2):99–107
  65. Vaiman M, Eviatar E, Shlamkovich N, et al. Effect of modern fibrin glue on bleeding after tonsillectomy and adenoidectomy. Ann Otol Rhinol Laryngol. 2003;112(5):410–414
  66. Vaiman M, Segal S, Eviatar E. Fibrin glue treatment for epistaxis. Rhinology. 2002;40(2):88–91
  67. Goodman RS. Surgicel in the control of post-tonsillectomy bleeding. Laryngoscope. 1996;106(8):1044–1046
  68. Beholz S, Liu J, Thoelke R, et al. Use of desmopressin and erythropoietin in an anaemic Jehovah's Witness patient with severely impaired coagulation capacity undergoing stentless aortic valve replacement. Perfusion. 2001;16(6):485–489
  69. Tanaka KA, Waly AA, Cooper WA, et al. Treatment of excessive bleeding in Jehovah's Witness patients after cardiac surgery with recombinant factor VIIa (NovoSeven). Anesthesiology. 2003;98(6):1513–1515
  70. Ballen J, Raabe M, Muirhead B. Aortic dissection and hypothermic arrest in a Jehovah's Witness patient: a case for recombinant factor VIIa?. Can J Anaesth. 2006;53(4):353–356
  71. Schälte G, Janz H, Busse J, et al. Life-threatening postoperative blood loss in a Jehovah's Witness, treated with high-dose erythropoietin. Br J Anaesth. 2005;94(4):442–444[Epub 2005 Jan 14]

☆ 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

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