Orthopaedic Surgery in the Jehovah's Witness Patient

被引:0
|
作者
Stone, Benjamin K. [1 ]
Callanan, Tucker C. [2 ]
Perez-Albela, Alejandro [2 ]
Basques, Bryce A. [2 ]
机构
[1] Brown Univ, Warren Alpert Med Sch, Providence, RI USA
[2] Brown Univ, Warren Alpert Med Sch, Dept Orthoped Surg, Providence, RI 02912 USA
关键词
TOTAL KNEE ARTHROPLASTY; TOTAL HIP-ARTHROPLASTY; BLOOD-LOSS; TRANEXAMIC ACID; CONTROLLED HYPOTENSION; TRANSFUSION; MANAGEMENT; REPLACEMENT; FUSION; REFUSAL;
D O I
10.2106/JBJS.24.00749
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Jehovah's Witnesses refuse allogeneic blood products based on religious beliefs that create clinical, ethical, and legal challenges in orthopaedic surgery, requiring detailed perioperative planning and specific graft selection.Detailed perioperative planning is particularly important for procedures with high intraoperative blood loss.Graft selection must align with Jehovah's Witnesses patients' religious beliefs, with options including autografts, allografts, and synthetic materials; this requires shared decision-making between the patient and surgeon.A multidisciplinary approach, integrating medical, ethical, and religious considerations, ensures optimal care, with innovative techniques and open dialogue being key to successful outcomes. © 2025 by The Journal of Bone and Joint Surgery, Incorporated.
引用
收藏
页码:643 / 651
页数:9
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