| 8171147 |
Polley JW, Berkowitz RA, McDonald TB, Cohen M, Figueroa A, Penney DW: Craniomaxillofacial surgery in the Jehovah's Witness patient. Plast Reconstr Surg. 1994 May;93(6):1258-63.
The reconstruction of severe craniofacial anomalies in patients who will not accept blood transfusions presents a considerable challenge to the craniofacial team. Traditionally, these patients have been refused major reconstructions, receiving no treatment or a highly compromised substitute. A management protocol was developed utilizing preoperative erythropoietin and ferrous sulfate therapy, intraoperative in-line normovolemic hemodilution, and meticulous intraoperative hemostasis which allows us to perform major craniomaxillofacial reconstructions in Jehovah's Witness patients without the use of homologous or predonated autologous blood transfusions. |
6(0,0,1,1) |