title: Optimization of oxygen delivery in a Jehovah's Witness with severe anaemia after postpartum haemorrhage.
abstract: The delivery of a 25-year-old Jehovah's Witness was complicated by postpartum haemorrhage with a nadir haematocrit of 3%. To improve oxygen delivery without blood transfusion, FiO2 was increased to maximize dissolved oxygen delivery. Central venous oxygen saturation was used to assess tissue oxygenation. When blood products are refused, successful management of severe anaemia is possible with supportive medical care to achieve haemostasis, optimize oxygen delivery and promote haematopoiesis.
authors: Department of Obstetrics & Gynecology, University of Washington Medical Center , Box 356460, 1959 Pacific Street NE, Seattle, WA 98195, USA.
authors: LaVone
authors: L
authors: Simmons
authors: Department of Obstetrics & Gynecology, University of Washington Medical Center , Box 356460, 1959 Pacific Street NE, Seattle, WA 98195, USA.
authors: Alyssa
authors: A
authors: Stephenson-Famy
authors: Department of Obstetrics & Gynecology, University of Washington Medical Center , Box 356460, 1959 Pacific Street NE, Seattle, WA 98195, USA.
authors: Thomas
authors: T
authors: Easterling
keywords: ScvO2; blood product refusal; postpartum haemorrhage