Major liver surgery in a Jehovah’s Witness patient: challenges for safe surgery
Southern African Journal of Anaesthesia and Analgesia
| Field | Value | |
| Title | Major liver surgery in a Jehovah’s Witness patient: challenges for safe surgery | |
| Creator | Lim, W.Y. Loh, L. Desai, Suneel R. Tien, S.L. Goh, B.K. Wong, P. | |
| Description | Jehovah’s Witnesses presenting for major surgery run the risk of major bleeding, which is complicated by the refusal to accept blood transfusion. We present a case of a 63-year-old woman, a Jehovah’s Witness, who was diagnosed with hepatocellular carcinoma and advised for curative laparoscopic liver segmentectomy. Due to the risk of significant intraoperative haemorrhage, her perioperative care was coordinated in a multidisciplinary manner. Informed consent requires the physician to advise on the material risks of undertaking major surgery without blood transfusion and the possible alternatives. Conflicting ethical issues of patient autonomy and beneficence related to refusal of blood products also arise. Perioperative strategies to minimise blood loss, maximise haematopoiesis and tolerance of anaemia to facilitate safe surgery in such patients are also presented. | |
| Publisher | AOSIS | |
| Date | 2019-06-30 | |
| Identifier | 10.36303/SAJAA.2019.25.3.2220 | |
| Source | Southern African Journal of Anaesthesia and Analgesia; Vol 25, No 3 (2019); 24-26 2220-1173 2220-1181 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajaa.co.za/index.php/sajaa/article/view/868/862
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