Anesthesia management and pain control for a medically challenging patient with infected hip, CAD and other medical problems who also refusing transfusion at all costs.
United States of America
7 slide(s) – English – 2011-09-08
Providing anesthesia for resection of an infected left total hip and insertion of antibiotic cement on a patient with multiple medical problems such as multiple sclerosis, hypertension, coronary artery disease, advanced diabetes, and sleep apnea can be very challenging. However, when the patient is also a Jehovah\'s Witness (not accepting transfusion because of religious belief) the challenge becomes even more difficult. The care of Jehovah’s Witnesses presents complex ethical, legal and medical issues for physicians. Anesthesiologist s are particularly affected because they are responsible for intraoperative transfusion management. Our patient’s management illustrates the importance of pre-operative preparation as well as intra-operative management.