Perioperative management including dual cell salvage in a Jehovah's Witness patient undergoing major urological surgery

Thomas G Smith; Irina Anastasescu; James M Wight; Anicee Danaee; Rajesh Nair; Tim S O'Brien

doi:10.1002/ccr3.5098

Perioperative management including dual cell salvage in a Jehovah's Witness patient undergoing major urological surgery

Clin Case Rep. 2021 Nov 19;9(11):e05098. doi: 10.1002/ccr3.5098. eCollection 2021 Nov.

Authors

Thomas G Smith^{1

2}, Irina Anastasescu¹, James M Wight¹, Anicee Danaee³, Rajesh Nair⁴, Tim S O'Brien⁴

Affiliations

¹ Department of Anaesthesia Guy's and St Thomas' NHS Foundation Trust London UK.
² Centre for Human and Applied Physiological Sciences King's College London London UK.
³ Department of Haematology Guy's and St Thomas' NHS Foundation Trust London UK.
⁴ Department of Urology Guy's and St Thomas' NHS Foundation Trust London UK.

Abstract

Complex surgery associated with major hemorrhage presents particular risks for Jehovah's Witnesses who do not accept transfusion of blood products. Intraoperative use of two cell saver machines simultaneously can maximize the yield of salvaged blood from both the operative field and from washed surgical swabs and can potentially be life-saving.

Keywords: Jehovah's Witness; caval tumor; cell salvage; major hemorrhage; renal tumor.

Publication types

Case Reports