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Jehovah’s Witnesses


Perioperative Care

Acute Normovolemic Hemodilution (ANH)

Greater volume of acute normovolemic hemodilution may aid in reducing blood transfusions after cardiac surgery.

Goldberg J, Paugh TA, Dickinson TA, Fuller J, Paone G, Theurer PF, Shann KG, Sundt TM 3rd, Prager RL, Likosky DS; PERForm Registry and the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative.

Source‎: Ann Thorac Surg 2015 Jul 21. [Epub ahead of print]

Indexed‎: PubMed 26206721

DOI‎: 10.1016/j.athoracsur.2015.04.135

The use of acute hemodilution in parturients undergoing cesarean section.

Grange CS, Douglas MJ, Adams TJ, Wadsworth LD.

Source‎: Am J Obstet Gynecol 1998;178(1 Pt 1):156-60.

Indexed‎: PubMed 9465821

Acute normovolemic hemodilution is safe in neurosurgery.

Oppitz PP, Stefani MA.

Source‎: World Neurosurg 2013;79(5-6):719-24.

Indexed‎: PubMed 22381828

DOI‎: 10.1016/j.wneu.2012.02.041

Cerebral effect of acute normovolemic hemodilution during brain tumor resection.

Daif AA, Hassan YM, Ghareeb NA, Othman MM, Mohamed SA.

Source‎: J Neurosurg Anesthesiol 2012;24(1):19-24.

Indexed‎: PubMed 21904221

DOI‎: 10.1097/ANA.0b013e31822f0346

A prospective randomized trial of acute normovolemic hemodilution compared to standard intraoperative management in patients undergoing major hepatic resection.

Jarnagin WR, Gonen M, Maithel SK, Fong Y, D'Angelica MI, Dematteo RP, Grant F, Wuest D, Kundu K, Blumgart LH, Fischer M.

Source‎: Ann Surg 2008;248(3):360-9.

Indexed‎: PubMed 18791356

DOI‎: 10.1097/SLA.0b013e318184db08

Acute normovolemic hemodilution, intraoperative cell salvage and PulseCO hemodynamic monitoring in a Jehovah's Witness with placenta percreta.

Nagy CJ, Wheeler AS, Archer TL.

Source‎: Int J Obstet Anesth 2008;17(2):159-63.

Indexed‎: PubMed 18308549

DOI‎: 10.1016/j.ijoa.2007.07.005

Cardioprotective effects of acute normovolemic hemodilution in patients undergoing coronary artery bypass surgery.

Licker M, Ellenberger C, Sierra J, Kalangos A, Diaper J, Morel D.

Source‎: Chest 2005;128(2):838-47.

Indexed‎: PubMed 16100176

The effect of acute normovolemic hemodilution and acute hypervolemic hemodilution on coagulation and allogeneic transfusion.

Saricaoglu F, Akinci SB, Celiker V, Aypar U.

Source‎: Saudi Med J 2005;26(5):792-8.

Indexed‎: PubMed 15951872

Acute normovolemic hemodilution.

Monk TG.

Source‎: Anesthesiol Clin North America 2005;23(2):271-81.

Indexed‎: PubMed 15922899

Acute normovolemic hemodilution.

Shander A, Rijhwani TS.

Source‎: Transfusion 2004;44 Suppl 2:26S-34.

Indexed‎: PubMed 15585002

Acute normovolemic hemodilution and nitroglycerin-induced hypotension: comparative effects on tissue oxygenation and allogeneic blood transfusion requirement in total hip arthroplasty.

Karakaya D, Ustün E, Tür A, Bariş S, Sarihasan B, Sahinoğlu H, Güldoğuş F.

Source‎: J Clin Anesth 1999;11(5):368-74.

Indexed‎: PubMed 10526806

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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