Jauregui Julio J, Kapadia Bhaveen H, Banerjee Samik, Issa Kimona, Su Sherwin, Harwin Steven F, Mont Michael A
Rubin Institute for Advanced Orthopedics Center for Joint Preservation and Replacement Sinai Hospital of Baltimore Baltimore, MD.
Seton Hall University School of Health and Medical Sciences Department of Orthopaedic Surgery South Orange Village, New Jersey.
Surg Technol Int. 2014 Mar;24:338-43.
Total hip arthroplasty is associated with extensive blood loss, which is often corrected using allogeneic blood transfusions. However, Jehovah's Witnesses often refuse allogeneic blood transfusions or certain types of autologous blood transfusions due to their religious beliefs. This may represent a tremendous challenge for the orthopaedic surgeon and their team. Performing a total hip arthroplasty on a Jehovah's Witness patient requires a well-trained group of physicians willing to pre-operatively optimize the patient, attempt to minimize the blood loss during the surgery, adequately manage the post-operative period, and be aware of which of the life-saving strategies can be used in these patients during an emergency situation. Ultimately, physicians should be prepared to deal with marked blood loss and respect the patients' wishes, values, and beliefs. This review focuses on studies where primary or revision total hip arthroplasty was performed in Jehovah's Witness patients. Therefore, we will illustrate that with a prepared team and an optimized patient, it is potentially quite safe to perform total hip arthroplasties in Jehovah's Witness patients.
全髋关节置换术常伴有大量失血，通常需通过同种异体输血来纠正。然而，耶和华见证人由于其宗教信仰，往往拒绝同种异体输血或某些类型的自体输血。这对骨科医生及其团队来说可能是巨大的挑战。为耶和华见证人患者进行全髋关节置换术需要一组训练有素的医生，他们愿意在术前对患者进行优化，尽量减少手术中的失血，妥善管理术后阶段，并了解在紧急情况下可用于这些患者的哪些救命策略。最终，医生应做好应对大量失血的准备，并尊重患者的意愿、价值观和信仰。本综述重点关注在耶和华见证人患者中进行初次或翻修全髋关节置换术的研究。因此，我们将说明，有了准备充分的团队和优化后的患者，为耶和华见证人患者进行全髋关节置换术可能相当安全。
