J Korean Dent Soc Anesthesiol.  2012 Mar;12(1):25-31. 10.17245/jkdsa.2012.12.1.25.

Experience of a Bloodless Two-Jaw Surgery and Care in Jehovah's Witnesses with Anemia

• Lee JM
• Seo KS
• Kim HJ
• Shin SY

• KMID: 2345057
• DOI: http://doi.org/10.17245/jkdsa.2012.12.1.25

Abstract

We report a case of 15 year-old Jehovah's Witness patient with mild anemia who underwent a successful orthognathic two-jaw surgery. Jehovah's Witness patients refuse transfusion of blood or blood products even in life threatening situations. The use of recombinant human erythropoietin and iron supplement increased hemoglobin during preoperative period. Intraoperatively, meticulous surgical hemostasis, acute normovolemic hemodilution and induced hypotension enabled the completion of the operation without the use of blood products.

Keyword

Two-Jaw Surgery; Jehovah's Witnesses; Anemia

MeSH Terms

Anemia*
Erythropoietin
Hemodilution
Hemostasis, Surgical
Humans
Hypotension, Controlled
Iron
Jehovah's Witnesses*
Preoperative Period
Erythropoietin
Iron