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Perioperative Care

Restricted Diagnostic Phlebotomy to Avoid Iatrogenic Anemia

First-line therapy with coagulation factor concentrates combined with point-of-care coagulation testing is associated with decreased allogeneic blood transfusion in cardiovascular surgery: a retrospective, single-center cohort study.

Görlinger K, Dirkmann D, Hanke AA, Kamler M, Kottenberg E, Thielmann M, Jakob H, Peters J.

Source‎: Anesthesiology 2011;115(6):1179-1191.

Indexed‎: PubMed 21970887

DOI‎: 10.1097/ALN.0b013e31823497dd

http://www.ncbi.nlm.nih.gov/pubmed/21970887

Savoring every drop--vampire or mosquito?

Fischer D, Zacharowski KD, Meybohm P.

Source‎: Crit Care 2014;18(3):306.

Indexed‎: PubMed 25032998

DOI‎: 10.1186/cc13884

http://www.ncbi.nlm.nih.gov/pubmed/25032998

Point-of-care testing: a prospective, randomized clinical trial of efficacy in coagulopathic cardiac surgery patients.

Weber CF, Görlinger K, Meininger D, Herrmann E, Bingold T, Moritz A, Cohn LH, Zacharowski K.

Source‎: Anesthesiology 2012;117(3):531-547.

Indexed‎: PubMed 22914710

http://www.ncbi.nlm.nih.gov/pubmed/22914710

Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction.

Salisbury AC, Reid KJ, Alexander KP, Masoudi FA, Lai SM, Chan PS, Bach RG, Wang TY, Spertus JA, Kosiborod M.

Source‎: Arch Intern Med 2011;171(18):1646-53.

Indexed‎: PubMed 21824940

DOI‎: 10.1001/archinternmed.2011.361

http://www.ncbi.nlm.nih.gov/pubmed/21824940

Surgical vampires and rising health care expenditure: reducing the cost of daily phlebotomy.

Stuebing EA, Miner TJ.

Source‎: Arch Surg 2011;146(5):524-7.

Indexed‎: PubMed 21576605

DOI‎: 10.1001/archsurg.2011.103

http://www.ncbi.nlm.nih.gov/pubmed/21576605

Comparison of structured use of routine laboratory tests or near-patient assessment with clinical judgement in the management of bleeding after cardiac surgery.

Avidan MS, Alcock EL, Da Fonseca J, Ponte J, Desai JB, Despotis GJ, Hunt BJ.

Source‎: Br J Anaesth 2004;92(2):178-86.

Indexed‎: PubMed 14722166

http://www.ncbi.nlm.nih.gov/pubmed/14722166


The medical section of jw.org 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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