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Jehovah’s Witnesses


Intensive and Critical Care

Restricted Diagnostic Phlebotomy to Avoid Iatrogenic Anemia

A simple "blood-saving bundle" reduces diagnostic blood loss and the transfusion rate in mechanically ventilated patients.

Riessen R, Behmenburg M, Blumenstock G, Guenon D, Enkel S, Schafer R, Haap M.

Source‎: PLoS One 2015;10(9):e0138879.

Indexed‎: PubMed 26421920

DOI‎: 10.1371/journal.pone.0138879

Prehospital intravenous fluid administration is associated with higher mortality in trauma patients: a National Trauma Data Bank analysis.

Haut ER, Kalish BT, Cotton BA, Efron DT, Haider AH, Stevens KA, Kieninger AN, Cornwell EE 3rd, Chang DC.

Source‎: Ann Surg 2011;253(2):371-7.

Indexed‎: PubMed 21178760

DOI‎: 10.1097/SLA.0b013e318207c24f

Reduction of blood loss from laboratory testing in hospitalized adult patients using small-volume (pediatric) tubes.

Sanchez-Giron F, Alvarez-Mora F.

Source‎: Arch Pathol Lab Med 2008;132(12):1916-9.

Indexed‎: PubMed 19061290

DOI‎: 10.1043/1543-2165-132.12.1916

Drug-induced anemia and other red cell disorders: a guide in the age of polypharmacy.

Shander A, Javidroozi M, Ashton ME.

Source‎: Curr Clin Pharmacol 2011;6(4):295-303.

Indexed‎: PubMed 22082327

The increasing burden of phlebotomy in the development of anaemia and need for blood transfusion amongst trauma patients.

Branco BC, Inaba K, Doughty R, Brooks J, Barmparas G, Shulman I, Nelson J, Demetriades D.

Source‎: Injury 2012;43(1):78-83.

Indexed‎: PubMed 21196005

DOI‎: 10.1016/j.injury.2010.12.003

The use of a blood conservation device to reduce red blood cell transfusion requirements: a before and after study.

Mukhopadhyay A, Yip HS, Prabhuswamy D, Chan YH, Phua J, Lim TK, Leong P.

Source‎: Crit Care 2010;14(1):R7.

Indexed‎: PubMed 20105285

DOI‎: 10.1186/cc8859

Blood conservation strategies to reduce the need for red blood cell transfusion in critically ill patients.

Tinmouth AT, McIntyre LA, Fowler RA.

Source‎: CMAJ 2008;178(1):49-57.

Indexed‎: PubMed 18166731

DOI‎: 10.1503/cmaj.071298

Highly conservative phlebotomy in adult intensive care--a prospective randomized controlled trial.

Harber CR, Sosnowski KJ, Hegde RM.

Source‎: Anaesth Intensive Care 2006;34(4):434-7.

Indexed‎: PubMed 16913337

The medical section of is designed as an informational resource primarily for use by clinicians and other health-care professionals. It provides neither medical advice nor treatment recommendations and does not substitute for an appropriately qualified health-care provider. The clinical literature cited is not published by Jehovah’s Witnesses, but it outlines transfusion-alternative strategies that might be considered. It is the responsibility of each qualified health-care provider to maintain awareness of new information, discuss options for care, and assist patients in making choices in accord with their medical condition, wishes, values, and beliefs. Not all listed strategies are appropriate or acceptable to all patients.

Patients: Always seek the advice of your doctor or other qualified health-care provider regarding medical conditions or treatments. Check with a doctor if you suspect you are ill.

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