Use of recombinant activated factor VII for reduction of perioperative blood loss during elective surgical correction of spine deformity in a Jehovah’s Witness. Case repor
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2010, Vol 12, Issue 5
Abstract
Planned surgical procedures at patients who refuse allogenic blood transfusion because of religious convictions are important problem, not only medical but also ethical and juristical. At the study authors report the successful use of activated recombinant factor VII (rFVIIa) for the reduction of perioperative blood loss in four years old child - Jehovah’s Witness, who had planned Torode kyphectomy. Applied perioperative management together with preparing to surgery with erythropoietin allowed for reduction of blood loss and avoiding of blood transfusion. Authors state, that appropriate perioperative proceeding makes a possibility of safe surgical procedures also at patients who refuse the transfusion.
Authors and Affiliations
Katarzyna Kącka , Wojciech Kącki , Joanna Merak , Adam Błęka
Keywords
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