[Preventing blood transfusion in a severely burned Jehovah's witness].
The treatment rationale of a burn victim (35% TBSA) who was child of Jehova's witnesses is described. Following a combined approach including erythropoetin and blood saving surgical techniques we were able to excise and graft the burn areas without blood transfusion. An extremely low hemoglobin of 3.4 g/dl was tolerated postoperatively and showed an increase to 10.9 g/dl 25 days later when the child was dismissed from the burn unit in stable condition. Possibilities to minimize blood loss and to avoid blood transfusions are discussed.
Vogt
P M
PM
Universitätsklinik für Plastische Chirurgie, Handchirurgie und Schwerbrandverletzte, Ruhr-Universität Bochum.
Kurz-Müller
K
K
Peter
F W
FW
Büttemeyer
R
R
Tryba
M
M
Steinau
H U
HU
D016063:Blood Loss, Surgical / Q000503:physiopathology; D001803:Blood Transfusion; D002056:Burns / Q000097:blood / Q000601:surgery; D002675:Child, Preschool; D002835:Christianity; D003646:Debridement; D004921:Erythropoietin / Q000008:administration & dosage; D005260:Female; D006452:Hemoglobinometry; D006801:Humans; D007262:Infusions, Intravenous; D007505:Iron-Dextran Complex / Q000008:administration & dosage; D016038:Skin Transplantation; D016312:Treatment Refusal
D004921:Erythropoietin; D007505:Iron-Dextran Complex
Einsparung von Fremdblutgaben bei schwerbrandverletzten Zeugen Jehovas.