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.
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.
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