Restricted Diagnostic Phlebotomy to Avoid Iatrogenic Anemia | Perioperative Care

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Restricted Diagnostic Phlebotomy to Avoid Iatrogenic Anemia

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Restricted Diagnostic Phlebotomy to Avoid Iatrogenic Anemia

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

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

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

Savoring every drop—vampire or mosquito? (opens new window)

Fischer DP, Zacharowski KD, Meybohm P.

Source‎: Crit Care 2014;18(3):306.

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. (opens new window)

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

Source‎: Anesthesiology 2011;115(6):1179-91.

Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. (opens new window)

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.

Surgical vampires and rising health care expenditure: reducing the cost of daily phlebotomy. (opens new window)

Stuebing EA, Miner TJ.

Source‎: Arch Surg 2011;146(5):524-7.

Point-of-care testing: a prospective, randomized clinical trial of efficacy in coagulopathic cardiac surgery patients. (opens new window)

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

Source‎: Anesthesiology 2012;117(3):531-47.

Hospital Liaison Committee (HLC)

Contact local representatives who provide free assistance to clinicians treating Jehovah’s Witnesses.

Medical Information Packets

Subjects include: Clinical strategies for managing hemorrhage and anemia without blood transfusion, the religious and ethical position of Jehovah’s Witnesses on medical therapy, and the services Witnesses offer to the medical community through their worldwide network of Hospital Liaison Committees.

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Treatment options as well as medical and ethical considerations for clinicians who treat Jehovah’s Witnesses.

The medical section of this website 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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