Adenotonsillectomy in a Jehovah's Witness with blood dyscrasia.
A case is used to illustrate a method of management of three unusual problems all simultaneously appearing in the same patient. Urgent surgical intervention was necessary for a child with a bleeding disorder, but the parents religious doctrine prohibited the use of whole blood or its products. The combined efforts of the legal, medical, and allied medical professionals led to a successful resolution of the patient's multiple problems.
D000233:Adenoidectomy; D000402:Airway Obstruction / Q000150:complications / Q000209:etiology / Q000601:surgery; D000614:Aminocaproates / Q000627:therapeutic use; D001792:Blood Platelets; D001803:Blood Transfusion; D002675:Child, Preschool; D005169:Factor VIII / Q000627:therapeutic use; D006470:Hemorrhage / Q000517:prevention & control; D006801:Humans; D006984:Hypertrophy; D007883:Legislation, Medical; D008206:Lymphatic Diseases / Q000150:complications; D008297:Male; D011300:Preoperative Care; D012068:Religion and Medicine; D014068:Tonsillectomy; D014842:von Willebrand Diseases / Q000150:complications*
D000614:Aminocaproates; D005169:Factor VIII