Lin Eric S, Kaye Alan D, Baluch Amir R
Ochsner J. 2012 Spring;12(1):61-9.
The Jehovah's Witnesses, a religious group of 7 million people in more than 200 countries, teaches its followers to not accept blood, resulting in potentially challenging and ethical dilemmas for anesthesiologists. In recent years, Jehovah's Witnesses changed certain elements of their approach to blood transfusion practice, including accepting autologous transfusions in certain circumstances. We examine mechanisms to resolve ethical conflicts, such as additional medical consultations with other involved physicians, surgeons, and anesthesiologists; short-term counseling or psychiatric consultation for patient and family; case management conferences; consultation with individuals trained in clinical ethics or a hospital-based ethics committee; and discussions with hospital administration. We also discuss treatment options, including certain blood products, anesthetic techniques, and pharmacological interventions.
耶和华见证人是一个在200多个国家拥有700万信徒的宗教团体，该团体教导其信徒不接受输血，这给麻醉医生带来了潜在的挑战和伦理困境。近年来，耶和华见证人改变了他们在输血实践中的某些做法，包括在某些情况下接受自体输血。我们研究了解决伦理冲突的机制，比如与其他相关的内科医生、外科医生和麻醉医生进行额外的医疗会诊；对患者及其家属进行短期咨询或精神科会诊；病例管理会议；与接受过临床伦理培训的人员或医院伦理委员会进行咨询；以及与医院管理层进行讨论。我们还讨论了治疗方案，包括某些血液制品、麻醉技术和药物干预措施。
