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Pediatrics

Clinical strategies for managing neonatal and pediatric patients without blood transfusion. Select a pediatric specialty below then choose a specific strategy. Click the title of a citation to load the medical article or bibliographic record.

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Preoperative Patient Evaluation and Transfusion Risk Assessment

Preoperative Planning and Patient Optimization

Multimodality, Interdisciplinary, and Individualized Approach

Preoperative Anemia Management and Optimization of Red Cell Mass

Anticoagulation Management and Reversal

Angiographic Embolization or Vascular Occlusion

Surgical Blood Conservation Techniques

Minimally Invasive Approaches

Management and Optimization of Hemostasis

Thermal Management (Prevention of Hypothermia)

Judicious Fluid and Volume Management

Intraoperative Autologous Blood Management

Restricted Diagnostic Phlebotomy to Avoid Iatrogenic Anemia

Postoperative Anemia Management

Optimization of Patients’ Tolerance of Anemia

Acceptance of Moderate Normovolemic Anemia

Resource-Limited Settings

Adverse Effects of Substantial Bleeding

Transfusion Risks and Uncertainties

Clinical Outcomes

Economic Outcomes

Preoperative Patient Evaluation and Transfusion Risk Assessment

Preoperative Planning and Patient Optimization

Multimodality, Interdisciplinary, and Individualized Approach

Preoperative Anemia Management and Optimization of Red Cell Mass

Thrombocytopenia Management

Surgical Blood Conservation Techniques

Management and Optimization of Hemostasis

Judicious Fluid and Volume Management

Intraoperative Autologous Blood Management

Anesthetic Blood Conservation Techniques

Restricted Diagnostic Phlebotomy to Avoid Iatrogenic Anemia

Postoperative Anemia Management

Optimization of Patients’ Tolerance of Anemia

Acceptance of Moderate Normovolemic Anemia

Resource-Limited Settings

Transfusion Risks and Uncertainties

Clinical Outcomes

Economic Outcomes

Prenatal Planning to Prevent Transfusion

Multimodality, Interdisciplinary, and Individualized Approach

Management of Anemia of Prematurity

Restricted Diagnostic Phlebotomy to Avoid Iatrogenic Anemia

Hyperbilirubinemia Management

Thrombocytopenia Management

Postnatal

Management and Optimization of Hemostasis

Recombinant Activated Factor VII (rFVIIa)

Prevention of Drug-Induced Anemia or Thrombocytopenia

Bacterial Sepsis

Preoperative Anemia Management and Optimization of Red Cell Mass

Acceptance of Moderate Normovolemic Anemia

Tolerance of Thrombocytopenia

Resource-Limited Settings

Transfusion Risks and Uncertainties

Multimodality, Interdisciplinary, and Individualized Approach

Anemia Management

Thrombocytopenia Management

Management and Optimization of Hemostasis

Neutropenia Management

Individualized/Modified Chemotherapy (Dose Adjustment or Delay)

Immunotherapy

Restricted Diagnostic Phlebotomy to Avoid Iatrogenic Anemia

Acceptance of Moderate Normovolemic Anemia

Transfusion Risks and Uncertainties

Clinical Outcomes

Preoperative Patient Evaluation and Transfusion Risk Assessment

Preoperative Planning and Patient Optimization

Multimodality, Interdisciplinary, and Individualized Approach

Preoperative Anemia Management and Optimization of Red Cell Mass

Management and Optimization of Hemostasis

Intraoperative Autologous Blood Management

Anesthetic Blood Conservation Techniques

Controlled (Induced) Hypotension

Economic Outcomes

Preoperative Patient Evaluation and Transfusion Risk Assessment

Preoperative Planning and Patient Optimization

Multimodality, Interdisciplinary, and Individualized Approach

Preoperative Anemia Management and Optimization of Red Cell Mass

Thrombocytopenia Management

Management and Optimization of Hemostasis

Thermal Management (Prevention of Hypothermia)

Judicious Fluid and Volume Management

Intraoperative Autologous Blood Management

Anesthetic Blood Conservation Techniques

Restricted Diagnostic Phlebotomy to Avoid Iatrogenic Anemia

Postoperative Anemia Management

Optimization of Patients’ Tolerance of Anemia

Acceptance of Moderate Normovolemic Anemia

Resource-Limited Settings

Adverse Effects of Substantial Bleeding

Transfusion Risks and Uncertainties

Clinical Outcomes

Economic Outcomes

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Pediatrics

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Pediatrics

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Medical Information Packets

Subjects include: Clinical strategies for managing hemorrhage and anemia without blood transfusion, the religious and ethical position of Jehovah’s Witnesses on medical therapy, and the services Witnesses offer to the medical community through their worldwide network of Hospital Liaison Committees.

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Treatment options as well as medical and ethical considerations for clinicians who treat Jehovah’s Witnesses.

The medical section of jw.org is designed as an informational resource primarily for use by clinicians and other health-care professionals. It provides neither medical advice nor treatment recommendations and does not substitute for an appropriately qualified health-care provider. The clinical literature cited is not published by Jehovah’s Witnesses, but it outlines transfusion-alternative strategies that might be considered. It is the responsibility of each qualified health-care provider to maintain awareness of new information, discuss options for care, and assist patients in making choices in accord with their medical condition, wishes, values, and beliefs. Not all listed strategies are appropriate or acceptable to all patients.

Patients: Always seek the advice of your doctor or other qualified health-care provider regarding medical conditions or treatments. Check with a doctor if you suspect you are ill.

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