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Profound anaemia in a Jehovah's Witness following upper gastrointestinal haemorrhage: Intensive care management 2C04, 2C03, F104

Chalmers, C., Tyson, E., Walter, E., Soon, Y. and Creagh-Brown, Ben (2014) Profound anaemia in a Jehovah's Witness following upper gastrointestinal haemorrhage: Intensive care management 2C04, 2C03, F104 Journal of the Intensive Care Society, 15 (3). pp. 238-242.

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Abstract

Management of the profoundly anaemic patient who competently refuses blood transfusion will always prove challenging. This article provides a review of treatment strategies based around a recent case of a patient presenting after major gastrointestinal haemorrhage. The main part of management involves providing supportive intensive care, paying particular attention to oxygen delivery and consumption, and minimising further blood loss. Specific treatments, such as pharmacotherapy to promote erythropoiesis, are based largely on indirect evidence or expert opinion. Virtually all aspects of care involve carefully balancing a shifting profile of risks and benefits; a team approach and close communication with the family are essential. This patient's successful outcome has extended our understanding of this area, which is discussed. © The Intensive Care Society 2014.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine
Authors :
NameEmailORCID
Chalmers, C.
Tyson, E.
Walter, E.
Soon, Y.
Creagh-Brown, Benb.creagh-brown@surrey.ac.uk
Date : 1 July 2014
DOI : 10.1177/175114371401500313
Uncontrolled Keywords : Gastrointestinal haemorrhage; Anaemia; Jehovah’s Witness; Intensive care; Transfusion – alternative strategies
Depositing User : Clive Harris
Date Deposited : 22 Mar 2019 08:08
Last Modified : 22 Mar 2019 08:08
URI: http://epubs.surrey.ac.uk/id/eprint/850769

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