The full content of Annals is available to subscribers

Subscribe/Learn More  >
Ideas and Opinions |

Management of the Severely Anemic Patient Who Refuses Transfusion: Lessons Learned during the Care of a Jehovah's Witness

Marianne Culkin Mann, MD; John Votto, DO; Joseph Kambe, MD; and Michael J. McNamee, MD
[+] Article, Author, and Disclosure Information

Requests for Reprints: John Votto, DO, Pulmonary Division, New Britain Memorial Hospital, 2150 Corbin Avenue, New Britain, CT 06053.

Current Author Addresses: Drs. Mann and Votto: Pulmonary Division, New Britain Memorial Hospital, 2150 Corbin Avenue, New Britain, CT 06053.

Dr. Kambe: Division of Surgery, New Britain General Hospital, New Britain, CT 06050.

Dr. McNamee: Pulmonary Division, New Britain General Hospital, New Britain, CT 06050.

© 1992 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1992;117(12):1042-1048. doi:10.7326/0003-4819-117-12-1042
Text Size: A A A

Objective: To present the case of a Jehovah's Witness with severe anemia and to review the religious philosophy of such patients, the ethical and medicolegal aspects of their care, and the therapeutic options available to clinicians.

Data Sources: A MEDLINE literature search (1980 to 1992) identified most studies. Other studies were selected from the bibliographies of identified articles.

Study Selection: Selection of articles was limited to the history, philosophy, medicolegal and ethical issues, and clinical management of anemic Jehovah's Witnesses; a recent article on recommendations for red cell transfusion was also reviewed.

Conclusions: A clear understanding of the philosophy of the Jehovah's Witnesses regarding blood transfusion and of the medicolegal and ethical aspects of their care is essential to clinicians who care for such patients. One must also be aware of the many alternative therapeutic options that can maximize oxygen delivery and minimize oxygen consumption. The insights gained from this review are applicable to any severely anemic patient who refuses blood transfusion.





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $42.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Topic Collections
PubMed Articles
[Bloodless medicine]. Rev Med Inst Mex Seguro Soc ;43(3):229-35.
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.