Journal of Anesthesia

, Volume 23, Issue 3, pp 436–438

Anesthetic management for ascending aorta replacement in a patient who refused autologous transfusion for religious reasons

Authors

  • Shinju Obara
    • Department of AnesthesiologyFukushima Medical University School of Medicine
  • Masayuki Nakagawa
    • Department of AnesthesiologyFukushima Medical University School of Medicine
  • Shinichiro Takahashi
    • Department of AnesthesiologyFukushima Medical University School of Medicine
  • Masahiko Akatu
    • Department of AnesthesiologyFukushima Medical University School of Medicine
  • Tsuyoshi Isosu
    • Department of AnesthesiologyFukushima Medical University School of Medicine
  • Masahiro Murakawa
    • Department of AnesthesiologyFukushima Medical University School of Medicine
Clinical Report

DOI: 10.1007/s00540-009-0764-1

Cite this article as:
Obara, S., Nakagawa, M., Takahashi, S. et al. J Anesth (2009) 23: 436. doi:10.1007/s00540-009-0764-1

Abstract

We report on the anesthetic management of a 69-year-old female Jehovah’s Witness undergoing cardiopulmonary bypass to replace the ascending aorta; the patient refused transfusion of stored autologous or allogeneic blood products for religious reasons. The strategy involved preoperative hematopoiesis with recombinant human erythropoietin and iron, intraoperative acute normovolemic hemodilution, the use of a cell-saver system, administration of high-dose tranexamic acid, controlled hypotension, avoidance of low body temperature, simplification of the surgery, and lower blood dilution during cardiopulmonary bypass.

Key words

Acute normovolemic hemodilutionCardiac anesthesiaJehovah’s Witness

Copyright information

© Japanese Society of Anesthesiologists 2009