Issa Kimona, Banerjee Samik, Rifai Aiman, Kapadia Bhaveen H, Harwin Steven F, McInerney Vincent K, Mont Michael A
Department of Orthopedics, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Baltimore, Maryland.
J Knee Surg. 2013 Dec;26(6):401-4. doi: 10.1055/s-0033-1353994. Epub 2013 Aug 16.
Primary or revision total knee arthroplasties (TKAs) may be associated with a marked amount of intraoperative or postoperative blood loss that potentially may lead to the need for blood transfusions. However, Jehovah's Witnesses usually refuse blood transfusions because of their religious beliefs. This may create clinical or ethical challenges for the treating physicians. Therefore, following established blood management protocols specifically designed for these patients may be beneficial for the performance of safe and transfusion-free procedures with minimal complications. In this report, we provide an overview of various potential preoperative, intraoperative, and postoperative blood management measures that may be used for the care of Jehovah's Witnesses who undergo knee arthroplasty procedures. In addition, we review reported outcomes of primary and revision TKAs in these patients.
初次或翻修全膝关节置换术（TKA）可能伴有大量术中或术后失血，这可能导致需要输血。然而，耶和华见证人通常因其宗教信仰而拒绝输血。这可能给治疗医生带来临床或伦理挑战。因此，遵循专门为这些患者制定的既定血液管理方案，可能有助于实施安全且无输血的手术，并使并发症最少。在本报告中，我们概述了各种潜在的术前、术中和术后血液管理措施，这些措施可用于接受膝关节置换手术的耶和华见证人的护理。此外，我们还回顾了这些患者初次和翻修TKA的报告结果。
