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

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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.

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Authors and Affiliations

  1. Department of Anesthesiology, Fukushima Medical University School of Medicine, 1 Hikari-gaoka, Fukushima, 960-1295, Japan

    Shinju Obara, Masayuki Nakagawa, Shinichiro Takahashi, Masahiko Akatu, Tsuyoshi Isosu & Masahiro Murakawa

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  1. Shinju Obara
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  2. Masayuki Nakagawa
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  3. Shinichiro Takahashi
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  4. Masahiko Akatu
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  5. Tsuyoshi Isosu
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  6. Masahiro Murakawa
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Obara, S., Nakagawa, M., Takahashi, S. et al. Anesthetic management for ascending aorta replacement in a patient who refused autologous transfusion for religious reasons. J Anesth 23, 436–438 (2009). https://doi.org/10.1007/s00540-009-0764-1

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  • DOI: https://doi.org/10.1007/s00540-009-0764-1

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