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Jehovah’s Witnesses


Orthopedic Surgery

Multimodality, Interdisciplinary, and Individualized Approach

Should all patients be optimized to the same preoperative hemoglobin level to avoid transfusion in primary knee arthroplasty?

Basora M, Tió M, Martin N, Lozano L, Salazar F, Sánchez-Etayo G, Raquel B, Pereira A.

Source‎: Vox Sang 2014;107(2):148-52.

Indexed‎: PubMed 24684514

DOI‎: 10.1111/vox.12147

Blood transfusion after primary total knee arthroplasty can be significantly minimised through a multimodal blood-loss prevention approach.

Moráis S, Ortega-Andreu M, Rodríguez-Merchán EC, Padilla-Eguiluz NG, Pérez-Chrzanowska H, Figueredo-Zalve R, Gómez-Barrena E.

Source‎: Int Orthop 2014;38(2):347-54.

Indexed‎: PubMed 24318318

DOI‎: 10.1007/s00264-013-2188-7

Effect of tranexamic acid on reducing postoperative blood loss in combined hypotensive epidural anesthesia and general anesthesia for total hip replacement.

Lee YC, Park SJ, Kim JS, Cho CH.

Source‎: J Clin Anesth 2013;25(5):393-8.

Indexed‎: PubMed 23965206

DOI‎: 10.1016/j.jclinane.2013.02.006

The effect of a preoperative erythropoietin protocol as part of a multifaceted blood management program in daily clinical practice (CME).

Doodeman HJ, van Haelst IM, Egberts TC, Bennis M, Traast HS, van Solinge WW, Kalkman CJ, van Klei WA.

Source‎: Transfusion 2013;53(9):1930-9.

Indexed‎: PubMed 23240859

DOI‎: 10.1111/trf.12016

Blood conservation techniques in spinal deformity surgery: a retrospective review of patients refusing blood transfusion.

Joseph SA Jr, Berekashvili K, Mariller MM, Rivlin M, Sharma K, Casden A, Bitan F, Kuflik P, Neuwirth M.

Source‎: Spine 2008;33(21):2310-5.

Indexed‎: PubMed 18827697

DOI‎: 10.1097/BRS.0b013e31818047f2

Tranexamic acid reduces blood transfusion in total knee arthroplasty even when a blood conservation program is applied.

Álvarez JC, Santiveri FX, Ramos I, Vela E, Puig L, Escolano F.

Source‎: Transfusion 2008;48(3):519-25.

Indexed‎: PubMed 18067499

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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