2013, Number 2
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Revista Cubana de Anestesiología y Reanimación 2013; 12 (2)
Blood transfusion in Jehovah's Witnesses as a problem in Medical Sciences
Seguras LO, Echevarría HAT, Suárez GM
Language: Spanish
References: 24
Page: 169-178
PDF size: 63.21 Kb.
ABSTRACT
Background: Jehovah's Witnesses base their beliefs on a literal interpretation of the Bible and do not accept blood transfusions or its derivatives. But, by means of medical options to transfusion, the prevention of the death of the individual in certain circumstances is not always achieved: this causes a bioethical conflict.
Objective: to analyze some bioethical and legal aspects that can help the Cuban anesthesiologist to a better understanding of this conflict and its solution in the perspective of giving a blood transfusion to a Jehovah's Witness patient.
Development: the dangers of blood transfusion make us consider alternative measures. Jehovah's Witness patients pose a challenge to the Medical Sciences that has stimulated the advance of knowledge and technology on such alternatives for the benefit of all patients, but tacitly deny blood transfusion may eventually introduce the possibility that a patient dies even when there are options to save him. Practice obliges to establish specific protocols and lines of communication between patient, anesthesiologist, surgeon, hospital management, and legal advice before any surgical procedure.
Conclusions: the progress of research in the Medical Sciences is oriented to substitute blood replacement or its derivatives because of the biological implications that these treatments bear rather than the obstacles of a religious fanaticism that tries to snatch scientific arguments to justify their beliefs. In our means, this bioethical conflict is solved within an ethical and legal framework in which a supreme good prevails: human life.
REFERENCES
Anuario de los Testigos de Jehová 2012. Con el informe del año de servicio 2011. Ed Watchtower Bible and Tract Society of New York, 2012. pp.1-35.
Retamales A. Autonomía del paciente: los Testigos de Jehová y la elección de alternativas a la transfusión. Rev Chil Obstet Ginecol 2006; 71(4): 280-287.
Lee E. Jehovah's Witnesses Accepting Blood Transfusion. Associated Jehovah's Witnesses for Reform on Blood. 2009. pp.127-31
Bajardi M. Normativa para el rechazo de transfusiones de sangre por razones religiosas. Cté de Ética del Hospital de la Comunidad: Mar del Plata. Jun, 1998. pp. 64-76.
Zarzosa G, Pereda RL. Urgencia quirúrgica en paciente politraumatizado sin posibilidad de transfusión por motivos religiosos. Cir Esp 2006; 80(6):413-4.
Gyamfi C, Berkowitz RL. In reply to Letter to Editor, Obstet and Gynecol 2009; 105(2):442 44.
Pérez A, García GE, Vicente J, Barbero F. Fundamentos del rechazo a la transfusión sanguínea por los Testigos de Jehová. Aspectos ético-legales y consideraciones anestésicas en su tratamiento. Rev Esp Anestesiol Reanim 2006; 53(1): 31-41.
Gracia D. Fundamentos de la bioética. Universidad de Madrid, 1989. pp. 55-62
López R, Lema G. Transfusión sanguínea y Testigos de Jehová: puntos a considerar. Carta al editor. Rev Med Chile 2010; 138: 922-923.
Retamales A, Cardemil G. Beneficios del ejercicio de la autonomía y consentimiento informado: los Testigos de Jehová. Rev Med Chile 2009; 137: 1388-94.
Weiskopf R. Hemoglobin-Based Oxygen Carriers: Compassionate Use and Compassionate Clinical Trials. Anesth Analg 2010; 110 (3): 659.
Casas L, Dides C. Objeción de conciencia y salud reproductiva en Chile: dos casos paradigmáticos. Acta Bioethica 2007; 13 (2): 199-206.
Beauchamp T, Childress J. Principles of biomedical ethics. 4 ed. Oxford: Oxford University, 1994. pp 11-28
Harris AL, Engel TP. Anesthetic challenges and considerations presented by the Jehovah's Witness patient. Department of Anesthesiology, Loma Linda University School of Medicine, Loma Linda, California, 1999. pp.114-125
Entralgo L. La relación médico-enfermo. Madrid. Revista Occidente 1964; 42:45-56
Sánchez JM. Objeción de conciencia y su repercusión en la sanidad. Bol Pediatr 2007; 47: 25-30.
Rodríguez O, Pi A, Soto V, Sotolongo L. Testigo de Jehová y el consentimiento informado en la práctica anestesiológica. En línea. Consultado: Agosto 25, 2012. URL disponible en: Rev Cub Anestesiol Reanim 2009; 8(3). http://www.bvs.sld.cu/revistas/scar/vol8_3_09/scar04309.htm
Núñez de Villavicencio F. Bioética: el médico, un educador. Bioética desde una perspectiva cubana. 2da Edic, 1998. Centro “Félix Varela”. La Habana, pp. 128-132.
Layon AJ. And the patient chose: medical ethics and the case of the Jehovah's Witness. Anesthesiology 1990; 73: 1258-62.
Kleinman I. Written advance directives refusing blood transfusions: ethical and legal considerations. Amer J Med 1994; 96: 563-7.
Ward ME, Ashley EM. Management of anaesthesia in Jehova's Witnessess. Association of Anesthesiologist of Grain Britain and Ireland 1999; 1: 7-12.
Johnson PW, King R, Slevin ML. The use of erythropoietin in a Jehovah's Witness undergoing major surgery and chemotherapy. Br J Cancer 1991; 63: 476.
Jim RT. Use of erythropoietin in Jehovah's Witness patients. Hawaii Med J 1990; 49: 26
De Andrade SL, De Carli D, Marciano L, Mendes B, Ferreira L. Tampón sanguíneo peridural en pacientes testigos de Jehová. Relato de dos casos. Feb, 2010. http://www scielo br/pdf/rba