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  • Title: How to approach major surgery where patients refuse blood transfusion (including Jehovah's Witnesses).
    Author: Gohel MS, Bulbulia RA, Slim FJ, Poskitt KR, Whyman MR.
    Journal: Ann R Coll Surg Engl; 2005 Jan; 87(1):3-14. PubMed ID: 15720900.
    Abstract:
    Jehovah's Witnesses do not permit the use of allogeneic blood products. An increasing number of patients are refusing blood transfusion for non-religious reasons. In addition, blood stores are decreasing, and costs are increasing. Transfusion avoidance strategies are, therefore, desirable. Bloodless surgery refers to the co-ordinated peri-operative care of patients aiming to avoid blood transfusion, and improve patient outcomes. These principles are likely to gain popularity, and become standard practice for all patients. This review offers a practical approach to the surgical management of Jehovah's Witnesses, and an introduction to the principles of bloodless surgery that can be applied to the management of all patients.
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