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Bloodless Heart Surgery for an 11-kg Infant of the Jehovah's Witness Faith Undergoing Second Repair for Complete Atrioventricular Canal.
J Extra Corpor Technol 2018; 50(3):184-186JE

Abstract

Bloodless pediatric cardiac surgery is the intent of most surgical centers especially in the Jehovah's Witness population where it is a desire not to administer blood products because of religious belief. It is a tremendous feat, considering that most pediatric cardiovascular prime volumes are more than 20% of the patient's estimated blood volume (EBV). We report on our bloodless strategy for a 2-year old Jehovah's Witness with trisomy 21 and complete atrioventricular canal repair, who underwent atrial septal defect and ventricular septal defect patch closure, pulmonary artery debanding, and pulmonary arterioplasty. We modified our circuit to reduce our prime volume to approximately 10% of the EBV and removed 200 mL of the patient's blood before surgery as acute normovolemic hemodilution. We did not alter our institutional standards for transfusion of blood and blood products. The post cardiopulmonary bypass (CPB) hematocrit was 30%. We conclude that bloodless CPB surgery can be performed safely in Jehovah's Witness patients with a carefully planned interdisciplinary approach.

Authors+Show Affiliations

Orlando Health, Orlando, Florida.Orlando Health, Orlando, Florida.Orlando Health, Orlando, Florida.Orlando Health, Orlando, Florida.Orlando Health, Orlando, Florida.Orlando Health, Orlando, Florida.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

30250346

Citation

Plancher, Gary, et al. "Bloodless Heart Surgery for an 11-kg Infant of the Jehovah's Witness Faith Undergoing Second Repair for Complete Atrioventricular Canal." The Journal of Extra-corporeal Technology, vol. 50, no. 3, 2018, pp. 184-186.
Plancher G, Datt B, Nguyen M, et al. Bloodless Heart Surgery for an 11-kg Infant of the Jehovah's Witness Faith Undergoing Second Repair for Complete Atrioventricular Canal. J Extra Corpor Technol. 2018;50(3):184-186.
Plancher, G., Datt, B., Nguyen, M., Munro, H., DeCampli, W. M., & Pourmoghadam, K. (2018). Bloodless Heart Surgery for an 11-kg Infant of the Jehovah's Witness Faith Undergoing Second Repair for Complete Atrioventricular Canal. The Journal of Extra-corporeal Technology, 50(3), pp. 184-186.
Plancher G, et al. Bloodless Heart Surgery for an 11-kg Infant of the Jehovah's Witness Faith Undergoing Second Repair for Complete Atrioventricular Canal. J Extra Corpor Technol. 2018;50(3):184-186. PubMed PMID: 30250346.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bloodless Heart Surgery for an 11-kg Infant of the Jehovah's Witness Faith Undergoing Second Repair for Complete Atrioventricular Canal. AU - Plancher,Gary, AU - Datt,Bharat, AU - Nguyen,Moui, AU - Munro,Hamish, AU - DeCampli,William M, AU - Pourmoghadam,Kamal, PY - 2018/01/02/received PY - 2018/07/25/accepted PY - 2018/9/26/entrez PY - 2018/9/27/pubmed PY - 2019/1/18/medline KW - Jehovah’s Witness KW - blood transfusion KW - bloodless KW - cardiopulmonary bypass KW - infant SP - 184 EP - 186 JF - The journal of extra-corporeal technology JO - J Extra Corpor Technol VL - 50 IS - 3 N2 - Bloodless pediatric cardiac surgery is the intent of most surgical centers especially in the Jehovah's Witness population where it is a desire not to administer blood products because of religious belief. It is a tremendous feat, considering that most pediatric cardiovascular prime volumes are more than 20% of the patient's estimated blood volume (EBV). We report on our bloodless strategy for a 2-year old Jehovah's Witness with trisomy 21 and complete atrioventricular canal repair, who underwent atrial septal defect and ventricular septal defect patch closure, pulmonary artery debanding, and pulmonary arterioplasty. We modified our circuit to reduce our prime volume to approximately 10% of the EBV and removed 200 mL of the patient's blood before surgery as acute normovolemic hemodilution. We did not alter our institutional standards for transfusion of blood and blood products. The post cardiopulmonary bypass (CPB) hematocrit was 30%. We conclude that bloodless CPB surgery can be performed safely in Jehovah's Witness patients with a carefully planned interdisciplinary approach. SN - 0022-1058 UR - https://www.unboundmedicine.com/medline/citation/30250346/Bloodless_Heart_Surgery_for_an_11-kg_Infant_of_the_Jehovah's_Witness_Faith_Undergoing_Second_Repair_for_Complete_Atrioventricular_Canal L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/30250346/ DB - PRIME DP - Unbound Medicine ER -