Using acute hypervolaemic haemodilution as blood conservation technique in a Jehovah’s witness patient undergoing an emergency transphenoidal surgery: a Sabah experience

Jehovah’s Witnesses (JW) is a branch of Christianity which was founded in 1872. However, their beliefs differ from other Christians in many ways. Majority of JW believe that it is against the teaching of God should they receive blood transfusion, while minority think receiving own blood or others is...

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Main Authors: Yeap, Boon Tat, Teah, Ming Kai, Zenian Sofan
Format: Article
Language:English
English
Published: BMJ Publishing Group Limited 2021
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/27312/1/Using%20acute%20hypervolaemic%20haemodilution%20as%20blood%20conservation%20technique%20in%20a%20Jehovah%E2%80%99s%20witness%20patient%20undergoing%20an%20emergency%20transphenoidal%20surgery_%20a%20Sabah%20experience%20FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/27312/2/Using%20acute%20hypervolaemic%20haemodilution%20as%20blood%20conservation%20technique%20in%20a%20Jehovah%E2%80%99s%20witness%20patient%20undergoing%20an%20emergency%20transphenoidal%20surgery_%20a%20Sabah%20experience%20ABSTRACT.pdf
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author Yeap, Boon Tat
Teah, Ming Kai
Zenian Sofan
author_facet Yeap, Boon Tat
Teah, Ming Kai
Zenian Sofan
author_sort Yeap, Boon Tat
collection UMS
description Jehovah’s Witnesses (JW) is a branch of Christianity which was founded in 1872. However, their beliefs differ from other Christians in many ways. Majority of JW believe that it is against the teaching of God should they receive blood transfusion, while minority think receiving own blood or others is acceptable. These vast beliefs should always be respected by all medical practitioners to avoid medicolegal implications. The differing beliefs about blood transfusion is certainly a huge challenge to the surgeons and anesthesiologists, especially dealing with major surgeries. Thus, effective surgical and anaesthetic techniques are focused to minimise blood loss to avoid unnecessary blood transfusion. We report a JW patient who successfully underwent an emergency endoscopic transsphenoidal surgery secondary to pituitary apoplexy; highlighting our intraoperative acute hypervolaemic haemodilution technique to reduce blood loss.
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spelling ums.eprints-273122021-06-18T06:17:23Z https://eprints.ums.edu.my/id/eprint/27312/ Using acute hypervolaemic haemodilution as blood conservation technique in a Jehovah’s witness patient undergoing an emergency transphenoidal surgery: a Sabah experience Yeap, Boon Tat Teah, Ming Kai Zenian Sofan RD Surgery Jehovah’s Witnesses (JW) is a branch of Christianity which was founded in 1872. However, their beliefs differ from other Christians in many ways. Majority of JW believe that it is against the teaching of God should they receive blood transfusion, while minority think receiving own blood or others is acceptable. These vast beliefs should always be respected by all medical practitioners to avoid medicolegal implications. The differing beliefs about blood transfusion is certainly a huge challenge to the surgeons and anesthesiologists, especially dealing with major surgeries. Thus, effective surgical and anaesthetic techniques are focused to minimise blood loss to avoid unnecessary blood transfusion. We report a JW patient who successfully underwent an emergency endoscopic transsphenoidal surgery secondary to pituitary apoplexy; highlighting our intraoperative acute hypervolaemic haemodilution technique to reduce blood loss. BMJ Publishing Group Limited 2021 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/27312/1/Using%20acute%20hypervolaemic%20haemodilution%20as%20blood%20conservation%20technique%20in%20a%20Jehovah%E2%80%99s%20witness%20patient%20undergoing%20an%20emergency%20transphenoidal%20surgery_%20a%20Sabah%20experience%20FULL%20TEXT.pdf text en https://eprints.ums.edu.my/id/eprint/27312/2/Using%20acute%20hypervolaemic%20haemodilution%20as%20blood%20conservation%20technique%20in%20a%20Jehovah%E2%80%99s%20witness%20patient%20undergoing%20an%20emergency%20transphenoidal%20surgery_%20a%20Sabah%20experience%20ABSTRACT.pdf Yeap, Boon Tat and Teah, Ming Kai and Zenian Sofan (2021) Using acute hypervolaemic haemodilution as blood conservation technique in a Jehovah’s witness patient undergoing an emergency transphenoidal surgery: a Sabah experience. BMJ Case Reports, 14 (3). pp. 1-3. ISSN 1757-790X https://casereports.bmj.com/content/bmjcr/14/3/e241916.full.pdf 10.1136/bcr-2021-241916 10.1136/bcr-2021-241916
spellingShingle RD Surgery
Yeap, Boon Tat
Teah, Ming Kai
Zenian Sofan
Using acute hypervolaemic haemodilution as blood conservation technique in a Jehovah’s witness patient undergoing an emergency transphenoidal surgery: a Sabah experience
title Using acute hypervolaemic haemodilution as blood conservation technique in a Jehovah’s witness patient undergoing an emergency transphenoidal surgery: a Sabah experience
title_full Using acute hypervolaemic haemodilution as blood conservation technique in a Jehovah’s witness patient undergoing an emergency transphenoidal surgery: a Sabah experience
title_fullStr Using acute hypervolaemic haemodilution as blood conservation technique in a Jehovah’s witness patient undergoing an emergency transphenoidal surgery: a Sabah experience
title_full_unstemmed Using acute hypervolaemic haemodilution as blood conservation technique in a Jehovah’s witness patient undergoing an emergency transphenoidal surgery: a Sabah experience
title_short Using acute hypervolaemic haemodilution as blood conservation technique in a Jehovah’s witness patient undergoing an emergency transphenoidal surgery: a Sabah experience
title_sort using acute hypervolaemic haemodilution as blood conservation technique in a jehovah s witness patient undergoing an emergency transphenoidal surgery a sabah experience
topic RD Surgery
url https://eprints.ums.edu.my/id/eprint/27312/1/Using%20acute%20hypervolaemic%20haemodilution%20as%20blood%20conservation%20technique%20in%20a%20Jehovah%E2%80%99s%20witness%20patient%20undergoing%20an%20emergency%20transphenoidal%20surgery_%20a%20Sabah%20experience%20FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/27312/2/Using%20acute%20hypervolaemic%20haemodilution%20as%20blood%20conservation%20technique%20in%20a%20Jehovah%E2%80%99s%20witness%20patient%20undergoing%20an%20emergency%20transphenoidal%20surgery_%20a%20Sabah%20experience%20ABSTRACT.pdf
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