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Bloodless Strategies

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Tolerating Low Hemoglobin

This strategy page focuses on fundamental physiological processes relevant to all types of anemia.

Meticulous Surgery

To avoid blood loss, meticulous and precise surgical technique remains the most important. By carefully following this total management approach and carefully adhering to sound surgical principles and techniques as suggested here, redo-cardiac surgery can be performed safely and successfully without blood transfusion.

Hyperbaric Oxygen Therapy

Hyperbaric oxygen therapy (HBO) is a medical treatment in which patients inhale 100% oxygen in a total body chamber, under increased but controlled pressures. It is used for a wide variety of treatments, usually as a part of an overall medical care plan.

IV Iron Dextran Infusion Protocol

The following is the methodology I use for the administration of intravenous iron dextran, for total dose infusion.  I have used this method for more than thirty-five years and it has worked quite well, with uniformly safe outcomes.

Clinical Pearls

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A Paradigm Shift in the Use of Blood Products

In recent years, there has been a paradigm shift regarding the use of blood products in surgery.

Weighing the Risks and Benefits of Blood Transfusion

Blood transfusions may not always be necessary, and in some cases, they may cause harm.

Respecting Patient Wishes in Receiving Blood Products

Many patients have cultural or religious reasons for refusing blood products.

Contributed Reports

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Maintenance of normal hematocrit in high-risk thyroid surgery without allogeneic blood transfusion

Bloodless surgery was introduced initially for the care of patients who refused blood transfusion. Recently however, adverse outcome with blood transfusion has been reported in virtually all subspecialties of surgery and conversely, improved outcome with non-transfusion surgery.
Acute normovolemic hemodilution Blood conservation Blood management Hematocrit Iron therapy Thyroidectomy
By Nathaniel I. Usoro

Life-threatening Postpartum Anemia in a Jehovah’s Witness

The management of Jehovah’s Witness patients with bleeding and severe anemia can be very challenging because of non-acceptance of ...
Manage anemia Philippines postpartum hemorrhage PPH tolerating low hemoglobin
By Gapay A

Redo-Cardiac Surgery Without Blood Transfusion In Adult Jehovah’s Witness Patients

In primary or first time cardiac surgery, it takes just several minutes for the surgeon to open the chest by median sternotomy (cutting the breast bone).
USA
By Estioko, MR

Share your experience

We offer you the opportunity to help improve care for Jehovah’s Witnesses around the world by sharing your experience. We will be glad to receive your previously published or unpublished case report or article focused on the strategies of bloodless care.

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Bloodless Fundamentals

Fundamentals

History of Bloodless Medicine and Surgery

This introductory module walks learners through the history of bloodless medicine and surgery and identifies key factors that led to the growth of the bloodless approach.
Fundamentals

Bloodless Medicine and Surgery Strategies

This module discusses the primary pillars of bloodless medicine and surgery and outlines strategies that ensure patient safety and well-being.
Fundamentals

Legal and Ethical Considerations of Bloodless Medicine and Surgery

This module discusses the legal and ethical considerations around the bloodless approach and identifies strategies that promote shared decision-making between healthcare providers and their patients.
We offer free consulting services for administrators and physician leaders wishing to establish a bloodless medicine and surgery program.
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Are you a patient?

Learn more about bloodless medicine and surgery.

International Training Center for Bloodless Medicine and Surgery

3007 Tilden St., NW,
Suite 5N, Washington, DC
20008
Questions? Call
410-772-6700

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