Blood conservation strategies in Jehovah's Witness patients undergoing complex aortic surgery: A report of three cases

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 17, Issue 4, 2003, Pages 528-535

  Loubser, Paul G ^e   Stoltz, Steven M ^a   Schmoker, Joseph D ^b   Bonifacio, Frank ^b   Battle, Robert W ^b   Marcus, Stephen ^b   Krumholz, Charles F ^b   Moskowitz, David M ^b   Shander, Aryeh ^c   Lemmer Jr , John H ^d  

^a McAllen Medical Center   (United States)

^b UNIVERSITY OF VERMONT   (United States)

^c ENGLEWOOD HOSPITAL AND MEDICAL CENTER   (United States)

^d UNIVERSITY OF PORTLAND   (United States)

^e NONE   (United States)

Author keywords

Acute normovolemic hemodilution; Aortic arch; Aortic root aneurysm; Blood conservation; Jehovah's Witness; Thoracoabdominal aortic aneurysm; Transesophageal echocardiography

Indexed keywords

BETA ADRENERGIC RECEPTOR BLOCKING AGENT; ETOMIDATE; FENTANYL; IRON; ISOFLURANE; MIDAZOLAM; PANCURONIUM; PROTAMINE; RECOMBINANT ERYTHROPOIETIN;

ABDOMINAL AORTA ANEURYSM; ADULT; AGED; ANESTHESIA INDUCTION; ANESTHESIOLOGICAL TECHNIQUES; ANEURYSM SURGERY; AORTA SURGERY; BLOOD STORAGE; BLOOD VOLUME; CLINICAL FEATURE; CONFERENCE PAPER; ECHOCARDIOGRAPHY; END TO END ANASTOMOSIS; FEMALE; HEART CATHETERIZATION; HEART LEFT VENTRICLE FUNCTION; HEMATOCRIT; HEMODILUTION; HEMOGLOBIN DETERMINATION; HUMAN; MALE; PREOPERATIVE CARE; PRIORITY JOURNAL; RELIGIOUS GROUP; SURGICAL APPROACH; SURGICAL TECHNIQUE; VASCULAR SURGERY;

EID: 0042357076     PISSN: 10530770     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1053-0770(03)00163-0     Document Type: Conference Paper

References (59)

1. Svensson LG, Crawford ES, Hess KR, et al: Experience with 1509 patients undergoing thoracoabdominal aortic operations. J Vasc Surg 17:357-368, 1993
2. Dupuis JF, Nguyen DT: Anesthetic management of the patient who refuses blood transfusions. Int Anesthesiol Clin 36:117-131, 1998
3. Zauder HL, Stehling L: Acute normovolemic hemodilution. J Clin Anesth 12:31-35, 2000
4. Bryson GL, Laupacis A, Wells GA: Does acute normovolemic hemodilution reduce perioperative allogeneic transfusion? A meta-analysis. The International Study of Perioperative Transfusion. Anesth Analg 86:9-15, 1998
5. Cina CS, Bruin G: Acute normovolemic hemodilution (ANH) in surgery of the thoracoabdominal aorta. A cohort study to evaluate coagulation parameters and blood products utilization. J Cardiovasc Surg (Torino) 40:37-43, 1999
6. Cina CS, It SC, Clase CM, et al: A cohort study of coagulation parameters and the use of blood products in surgery of the thoracic and thoracoabdominal aorta. J Vasc Surg 233:462-468, 2001
7. Clinical strategies for avoiding and controlling hemorrhage and anemia without blood transfusion in surgical patients, Hospital Information Services for Jehovah Witnesses. Watch Tower Bible and Tract Society of New York, Inc., Brooklyn, NY, 2001 pp 2-5.
8. Gan TJ, Bennett-Guerrero E, Phillips-Bute B, et al: Hextend, a physiologically balanced plasma expander for large volume use in major surgery: A randomized phase III clinical trial. Hextend Study Group. Anesth Analg 88:992-998, 1999
9. Rosengart TK, Helm RE, DeBois WJ, et al: Open heart operations without transfusion using a multimodality blood conservation strategy in 50 Jehovah's Witness patients: Implications for a "bloodless" surgical technique. J Am Coll Surg 184:618-629, 1997
10. De Andrade JR, Jove M, Landon G, et al: Baseline hemoglobin as a predictor of risk of transfusion and response to epoietin alfa in orthopedic surgery patients. Am J Orthop 25:533-542, 1996
11. Vorweg M, Hartmann B, Knuttgen D, et al: Management of fulminant fibrinolysis during abdominal aortic surgery. J Cardiothorac Vasc Anesth 15:764-767, 2001
12. Robinson J, Nawaz S, Beard JD: Randomized, multicentre, double-blind, placebo-controlled trial of the use of aprotinin in the repair of ruptured abdominal aortic aneurysm. On behalf of the Joint Vascular Research Group. Br J Surg 87:754-757, 2000
13. Trasylol Prescribing Information, PZ500190, Clinical Pharmacology, Bayer Corporation, West Haven, CT, 2001, pp 1-2
14. Gelman S: The pathophysiology of aortic cross-clamping and unclamping. Anesthesiology 82:1026-1060, 1995
15. Godet G, Fleron MH, Vicaut E, et al: Risk factors for acute postoperative renal failure in thoracic of thoracoabdominal aortic surgery: A prospective study. Anesth Analg 85:1227-1232, 1997
16. Hollier LH. Moore WM: Avoidance of renal and neurologic complications following thoracoabdominal aortic aneurysm repair. Acta Chir Scan Suppl 555:129-135, 1990
17. Donias HW, Karamanoukian RL, Karamanoukian HL: Antifibrinolytic therapy during OPCAB surgery: A word of caution. J Cardiothor Vasc Anesth 16:391-392, 2002
18. Mariani MA, Gu YJ, Boonstra PW, et al: Procoagulant activity after off-pump coronary operations: Is the current anticoagulation adequate. Ann Thor Surg 67:1370-1375, 1999
19. Fitzsimons MG, Peterfreund RA, Raines DE: Aprotinin administration and pulmonary thromboembolism during orthotopic liver transplantation: Report of two cases. Anesth Analg 92:1418-1421, 2001
20. Smith JS, Cahalan MK, Benefiel DJ, et al: Intraoperative detection of myocardial ischemia in high-risk patients: Electrocardiography versus two-dimensional transesophageal echocardiography. Circulation 72:1015-1021, 1985
21. Sutton DC, Cahalan ML: Intraoperative assessment of left ventricular function with transesophageal echocardiography. Cardiol Clin 11:389-398, 1993
22. Scmidlin D, Bettex D, Bernard E, et al: Transesophageal echocardiography in cardiac and vascular surgery: Implications and observer reliability. Br J Aneasth 86:497-505, 2001
23. Bak Z, Abildgard L, Lisander B, et al: Transesophageal echocardiographic hemodynamic monitoring during acute normovolemic hemodilution. Anesthesiology 92:1250-1256, 2000
24. Bricker DL, Parker TM, Mistrot JJ, et al: Repair of acute dissection of the ascending aorta, associated with coarctation of the thoracic aorta in a Jehovah's Witness. J Cardiovasc Surg (Torino) 21:374-378, 1980
25. Coselli JS, Buket S, Van Cleve GD: Successful reoperation for ascending aorta and arch aneurysm in a Jehovah's Witness. Ann Thorac Surg 58:871-873, 1994
26. Lewis CT, Murphy MC, Cooly DA: Risk factors for cardiac operations in adult Jehovah's Witnesses. Ann Thorac Surg 51:448-450, 1991
27. Brooke M, Schmidt C, Van Aken H, et al: Continuous auto-transfusion in a Jehovah's Witness undergoing coronary artery bypass grafting. Anesth Analg 89:262, 1999
28. Smith CR, Spanier TB: Aprotinin in deep hypothermic circulatory arrest. Ann Thorac Surg 68:278-286, 1999
29. Wozniak G, Dapper F, Zickmann B, et al: Selective cerebral perfusion via innominate artery in aortic arch replacement without deep hypothermic circulatory arrest. Int J Angiology 8:50-56, 1999
30. Helm RE, Rosengart TK, Gomez M, et al: Comprehensive multimodality blood conservation: 100 consecutive CABG operations without transfusion. Ann Thorac Surg 65:125-136, 1998
31. Moskowitz DM, Perelman SI, Cousineau KM, et al: Multidisciplinary management of a Jehovah's Witness patient for the removal of a renal cell carcinoma extending into the right atrium: [La prise en charge multidisciplinaire d'un patient Temoin de Jehovah pour le retrait d'un hypernephrome s'etendant dans l'oreillette droite]. Can J Anaesth 49:402-408, 2002
32. Weiskopf RB, Viele MK, Feiner J, et al: Human cardiovascular and metabolic response to acute, severe isovolemic anemia [published erratum appears in JAMA 1998 Oct 28;280(16):1404] [see comments]. JAMA 279:217-221, 1998
33. 2/kg/min. Anesthesiology 92:407-413, 2000
34. Tung-Ping Poon R, Fan ST, Wong J: Risk factors, prevention, and management of postoperative recurrence after resection of hepatocellular carcinoma. Ann Surg 232:10-24, 2000
35. Vamvakas EC: Transfusion-associated cancer recurrence and postoperative infection: meta-analysis of randomized, controlled clinical trials. Transfusion 36:175-186, 1996
36. Agarwal N, Murphy JG, Cayten CG, et al: Blood transfusion increases the risk of infection after trauma. Arch Surg 128:171-176, discussion 6-7, 1993
37. Carson JL, Altman DG, Duff A, et al: Risk of bacterial infection associated with allogeneic blood transfusion among patients undergoing hip fracture repair. Transfusion 39:694-700, 1999
38. Blumberg N, Heal JM: Blood transfusion immunomodulation: the silent epidemic. Arch Pathol Lab Med 122:117-119, 1998
39. Goodnough LT, Brecher ME, Kanter MH, et al: Transfusion medicine. First of two parts - Blood transfusion. N Engl J Med 340: 438-447, 1999
40. Klein HG: Immunomodulatory aspects of transfusion: A once and future risk? Anesthesiology 91:861-865, 1999
41. Kitchens CS: Are transfusions overrated? Surgical outcome of Jehovah's Witnesses. Am J Med 94:117-119, 1993
42. Hebert PC, Wells G, Blajchman, MA, et al: A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group [see comments] [published erratum appears in N Engl J Med 1999 Apr 1;340(13):1056]. N Engl J Med 340:409-417, 1999
43. Bracey AW, Radovancevic R, Riggs SA, et al: Lowering the hemoglobin threshold for transfusion in coronary artery bypass procedures: Effect on patient outcome. Transfusion 39:1070-1077, 1999
44. Spiess BD, Ley C, Body SC, et al: Hematocrit value on intensive care unit entry influences the frequency of Q-wave myocardial infarction after coronary artery bypass grafting. The Institutions of the Multicenter Study of Perioperative Ischemia (McSPI) Research Group. J Thorac Cardiovasc Surg 116:460-467, 1998
45. Vincent JL, Baron JF, Reinhart K, et al: Anemia and blood transfusion in critically ill patients. JAMA 288:1499-1507, 2002
46. Aldea GS, Shapira OM, Treanor PR. et al: Effective use of heparin-bonded circuits and lower anticoagulation for coronary artery bypass grafting in Jehovah's Witnesses. J Card Surg 11:12-17, 1996
47. Ozawa S, Shander A, Ochani TD: A practical approach to achieving bloodless surgery. AORN J 74:34-40, 2001
48. Baele P, Van der Linden P: Developing a blood conservation strategy in the surgical setting. Acta Anaesthesiol Belg 53:129-136, 2002
49. Singelenberg R: The blood transfusion taboo of Jehovah's Witnesses: Origin, development and function of a controversial doctrine. Soc Sci Med 31:515-523, 1990
50. Passage J, Jalali H, Tam RKW, et al: BioGlue Surgical Adhesive - An appraisal of its indications in cardiac surgery. Ann Thorac Surg 74:432-437, 2002
51. Oz MC, Cosgrove DM III, Badduke BR, et al: Controlled clinical trial of a novel hemostatic agent in cardiac surgery. Ann Thorac Surg 69:1376-1382, 2000
52. Rosengart TK, Helm RE, Klemperer K, et al: Combined aprotinin and erythropoietin use for blood conservation: Results with Jehovah's Witnesses. Ann Thorac Surg 58:1397-1403, 1994
53. Clark SC, Vitale N, Zacharias J, et al: Effect of low-molecular-weight heparin (fragmin) on bleeding after cardiac surgery. Ann Thorac Surg 69:762-765, 2000
54. Jones HU, Muhlestain JB, Jones KW, et al: Preoperative use of enoxaparin compared with unfractionated heparin increases the incidence of re-exploration for postoperative bleeding after open-heart surgery in patients who present with an acute coronary syndrome. Circulation 106:I19-I22, 2002 (suppl I)
55. Schonbereger JPAM, Bredee JJ, Tjian D, et al: Intraoperative predonation contributes to blood saving. Ann Thorac Surg 56:893-898, 1993
56. Helm RE, Klemperer JD, Rosengart TK, et al: Intraoperative autologous blood donation preserves red cell mass but does not decrease postoperative bleeding. Ann Thorac Surg 62:1431-1441, 1996
57. Levi M, Cromheecke ME, de Jonge E, et al: Pharmacological strategies to decrease excessive blood loss in cardiac surgery: A meta-analysis of clinically relevant endpoints. Lancet 354:1940-1947, 1999
58. Peters DC, Noble S: Aprotinin: An update of its pharmacology and therapeutic use in open heart surgery and coronary artery bypass surgery. Drugs 57:233-260, 1999
59. Godet G, Bertrand M, Samama C-M, et al: Aprotinin to decrease bleeding and intraoperative blood transfusion during descending thoracic and thoracoabdominal aortic aneurysmectomy using cardiopulmonary bypass. Ann Thorac Surg 8:452-456, 1994