Liver transplantation in Jehovah's Witnesses: two cases report.
Ju-Young JeongHyeon Sook JeeBon Sung KooSung-Hwan ChoSang-Hyun KimGaabSoo KimPublished in: Korean journal of anesthesiology (2016)
Liver transplantation is especially challenging in patients who are Jehovah's Witnesses because their religious beliefs prohibit the receipt of blood products. We present two cases of living donor liver transplantation performed in adult Jehovah's Witnesses in South Korea without the use of blood products. In the first case, preoperative erythropoiesisstimulation therapy increased hemoglobin levels from 8.1 to 13.1 g/dl after 9 weeks. In the second case, hemoglobin levels increased from 7.4 to 10.8 g/dl after 6 months of erythropoiesis-stimulation therapy. With the combination of acute normovolemic hemodilution, intraoperative cell salvage, and use of transfusion alternatives, liver transplantation was successfully performed without transfusion of blood products.
Keyphrases
- end stage renal disease
- cardiac surgery
- patients undergoing
- ejection fraction
- liver failure
- chronic kidney disease
- cell therapy
- prognostic factors
- sickle cell disease
- single cell
- peritoneal dialysis
- drug induced
- patient reported outcomes
- intensive care unit
- respiratory failure
- mesenchymal stem cells
- acute respiratory distress syndrome
- hepatitis b virus
- preterm birth
- mechanical ventilation