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KMID : 0980220120120010025
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Journal of the Korean Dental Society of Anesthesiology
2012 Volume.12 No. 1 p.25 ~ p.31
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Experience of a Bloodless Two-Jaw Surgery and Care in Jehovah’s Witnesses with Anemia
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Lee Jung-Man
Seo Kwang-Suk
Kim Hyun-Jeong
Shin Soon-Young
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Abstract
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We report a case of 15 year-old Jehovah’s Witness patient with mild anemia who underwent a successful orthognathic two-jaw surgery. Jehovah’s Witness patients refuse transfusion of blood or blood products even in life threatening situations. The use of recombinant human erythropoietin and iron supplement increased hemoglobin during preoperative period. Intraoperatively, meticulous surgical hemostasis, acute normovolemic hemodilution and induced hypotension enabled the completion of the operation without the use of blood products.
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KEYWORD
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Two-Jaw Surgery, Jehovah’s Witnesses, Anemia
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