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Old 08-07-2007, 07:11 PM
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"Thank Jehovah for bloodless transplants"

Thank Jehovah for bloodless transplants - www.6minutes.com.au

6 August 2007

Thank Jehovah for bloodless transplants

by Dr Kerri Parnell

Blood-sparing techniques used in two Jehovah’s Witnesses undergoing liver transplantation have the potential to benefit all patients having major surgery, experts say in today’s MJA.

Thought to be the first two successful liver transplants in Jehovah’s Witnesses in
Australasia, both patients refused red blood cells, fresh frozen plasma and platelets but
accepted blood fractions and recirculated autologous and cellsaved blood.

Preoperative erythropoietin was also used to boost preoperative haemoglobin levels,
and a low central venous pressure maintained during the procedures. Both patients
received recombinant clotting factors after surgery.

The patients were alive and well at three and four years, the authors say.

MJA 2007;187;188-9.
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Old 08-09-2007, 12:48 AM
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Same news reported also in this other reliable source.

Quote:
Liver transplantation in Jehovah's Witness patients in Australasia.
Quote:
Jeffrey GP, McCall J, Gane E, Mitchell AW, Gibbs NM, Beavis V, Gunn K, Munn S, House AK.
Western Australian Liver Transplantation Service, Sir Charles Gairdner Hospital, Perth, WA, Australia. gjeffrey@cyllene.uwa.edu.au.

Until recently, liver transplantation was contraindicated in Jehovah's Witness patients because of recipient-imposed restrictions on use of blood products. However, recent improvements in surgical and anaesthetic techniques and new procoagulant agents challenge this practice. We describe two Jehovah's Witness patients who had successful liver transplantation without blood transfusion. To our knowledge, these are the first such cases in Australasia. The techniques used to minimise blood loss and transfusion requirements could potentially benefit all patients undergoing major surgery.
PMID: 17680750 [PubMed - in process]
Source: Liver transplantation in Jehovah's Witness patient...[Med J Aust. 2007] - PubMed Result
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