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Jehovah’s Witnesses


Neonatal Medicine

Restricted Diagnostic Phlebotomy to Avoid Iatrogenic Anemia

Using umbilical cord blood for the initial blood tests of VLBW neonates results in higher hemoglobin and fewer RBC transfusions.

Baer VL, Lambert DK, Carroll PD, Gerday E, Christensen RD.

Source‎: J Perinatol 2013;33(5):363-5.

Indexed‎: PubMed 23047426

DOI‎: 10.1038/jp.2012.127

Umbilical cord blood as a replacement source for admission complete blood count in premature infants.

Carroll PD, Nankervis CA, Iams J, Kelleher K.

Source‎: J Perinatol 2012;32(2):97-102.

Indexed‎: PubMed 21566570

DOI‎: 10.1038/jp.2011.60

Postponing or eliminating red blood cell transfusions of very low birth weight neonates by obtaining all baseline laboratory blood tests from otherwise discarded fetal blood in the placenta.

Christensen RD, Lambert DK, Baer VL, Montgomery DP, Barney CK, Coulter DM, Ilstrup S, Bennett ST.

Source‎: Transfusion 2011;51(2):253-8.

Indexed‎: PubMed 20723166

DOI‎: 10.1111/j.1537-2995.2010.02827.x

Phlebotomy overdraw in the neonatal intensive care nursery.

Lin JC, Strauss RG, Kulhavy JC, Johnson KJ, Zimmerman MB, Cress GA, Connolly NW, Widness JA.

Source‎: Pediatrics 2000;106(2):E19.

Indexed‎: PubMed 10920175

Reduction in red blood cell transfusions using a bedside analyzer in extremely low birth weight infants.

Madan A, Kumar R, Adams MM, Benitz WE, Geaghan SM, Widness JA.

Source‎: J Perinatol 2005;25(1):21-5.

Indexed‎: PubMed 15496875

Implementation of a multi-parameter point-of-care-blood test analyzer reduces central laboratory testing and need for blood transfusions in very low birth weight infants.

Mahieu L, Marien A, De Dooy J, Mahieu M, Mahieu H, Van Hoof V.

Source‎: Clin Chim Acta 2012;413(1-2):325-30.

Indexed‎: PubMed 22056692

DOI‎: 10.1016/j.cca.2011.10.027

Transcutaneous bilirubinometry reduces the need for blood sampling in neonates with visible jaundice.

Mishra S, Chawla D, Agarwal R, Deorari AK, Paul VK, Bhutani VK.

Source‎: Acta Paediatr 2009;98(12):1916-9.

Indexed‎: PubMed 19811459

DOI‎: 10.1111/j.1651-2227.2009.01505.x

Pharmacodynamically optimized erythropoietin treatment combined with phlebotomy reduction predicted to eliminate blood transfusions in selected preterm infants.

Rosebraugh MR, Widness JA, Nalbant D, Cress G, Veng-Pedersen P.

Source‎: Pediatr Res 2014;75(2):336-42.

Indexed‎: PubMed 24216541

DOI‎: 10.1038/pr.2013.213

Identifying factors to minimize phlebotomy-induced blood loss in the pediatric intensive care unit.

Valentine SL, Bateman ST.

Source‎: Pediatr Crit Care Med 2012;13(1):22-7.

Indexed‎: PubMed 21499175

DOI‎: 10.1097/PCC.0b013e318219681d

Reduction in red blood cell transfusions among preterm infants: results of a randomized trial with an in-line blood gas and chemistry monitor.

Widness JA, Madan A, Grindeanu LA, Zimmerman MB, Wong DK, Stevenson DK.

Source‎: Pediatrics 2005;115(5):1299-306.

Indexed‎: PubMed 15867038

Blood conservation in neonatal and pediatric populations.

Wilson JR, Gaedeke MK.

Source‎: AACN Clin Issues 1996;7(2):229-37.

Indexed‎: PubMed 8718385

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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