Anesthetic Experience during Liver Transplantation in a Pediatric Jehovah's Witness: A case report.
10.4097/kjae.2002.43.6.800
- Author:
Hyun Ra PARK
1
;
Mi Sook GWAK
;
Gaab Soo KIM
;
Ik Soo CHUNG
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gskim@smc.Samsung.co.kr
- Publication Type:Case Report
- Keywords:
Autologous transfusion;
erythropoietin;
Jehovah's Witness;
liver transplantation
- MeSH:
Biliary Atresia;
Erythropoietin;
Female;
Hemostasis, Surgical;
Humans;
Hypothermia;
Infant;
Liver Diseases;
Liver Transplantation*;
Liver*;
Mothers;
Operative Blood Salvage;
Perioperative Period;
Tissue Donors;
Tranexamic Acid
- From:Korean Journal of Anesthesiology
2002;43(6):800-803
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report the case of an 11-month-old Jehovah's Witness girl with end-stage liver disease secondary to biliary atresia who underwent a successful living-related liver transplantation. The donor was her mother who is a member of Jehovah's Witness. The use of recombinant human erythropoietin increased hemoglobin concentrations during the perioperative period. Intraoperatively, meticulous surgical hemostasis, avoidance of hypothermia, minimal blood sampling, administration of tranexamic acid, and return of the blood scavenged from the operative field by intraoperative blood salvage enabled the completion of the operation without the use of blood products.
