Use of a Modified Ultrafiltration Technique during Aortic Valve Replacement Surgery on a Jehovah¡¯s Witness
Soonchunhyang Medical Science 2020³â 26±Ç 1È£ p.38 ~ p.40
Á¶È£¹ü(Cho Ho-Bum) - Soonchunhyang University Seoul Hospital Department of Anesthesiology and Pain Medicine
Abstract
Jehovah¡¯s Witnesses do not accept blood transfusions, rendering open-heart surgery difficult. A 77-year-old female was scheduled for elective bloodless surgery to replace an aortic valve. When cardiopulmonary bypass concluded, all ultrafiltrated blood was re-infused using a modified ultrafiltration technique. We encountered no intraoperative or postoperative complications. Anesthesiologists should consider modified ultrafiltration when a patient refuses a blood transfusion.
Å°¿öµå
Bloodless medical and surgical procedures, Cardiopulmonary bypass, Ultrafiltration
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)
Modified ultrafiltration (MUF) is a valuable blood conservation strategy after cardiopulmonary bypass (CPB); MUF after CPB can reduce the need for blood transfusion.