Jehovah’s Witness Needing Critical Care: A Narrative Review on the Expanding Arsenal
Present day Jehovah’s Witness (JW) religion accounts for 8.5 million followers. A tenant feature of the JW faith is religious objection to transfusions of blood and blood products. Interpatient variability, as it pertains to blood and blood products may occur; hence, a confidential interview will de...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2024/1913237 |
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| author | Ryan Davids Gareth Robinson Charmé Van Tonder Jordan Robinson Nadiyah Ahmed Abdurragmaan Domingo |
| author_facet | Ryan Davids Gareth Robinson Charmé Van Tonder Jordan Robinson Nadiyah Ahmed Abdurragmaan Domingo |
| author_sort | Ryan Davids |
| collection | DOAJ |
| description | Present day Jehovah’s Witness (JW) religion accounts for 8.5 million followers. A tenant feature of the JW faith is religious objection to transfusions of blood and blood products. Interpatient variability, as it pertains to blood and blood products may occur; hence, a confidential interview will determine which products individual may consent to (Marsh and Bevan, 2002). This belief and practice place great restrictions on treating medical professionals in scenarios of life-threatening anaemia and active haemorrhage. The review to follow explores the physiological and pathophysiological consequences of severe anaemia. Non-blood transfusion practices are explored, many of which are potentially lifesaving. Particular attention is drawn to the evolving science involving artificial oxygen carriers and their use in emergency situations. A greater safety profile ensures its future use amongst religious objectors to be greatly beneficial. Intravenous iron supplementation has enjoyed a lively debate within the critical care community. A review of recent systematic and meta-analysis supports its use in the ICU; however, more investigation is needed into the complementary use of hepcidin. |
| format | Article |
| id | doaj-art-1113e20a9788446bb83c15e38f99f223 |
| institution | Kabale University |
| issn | 2090-1313 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-1113e20a9788446bb83c15e38f99f2232025-02-03T05:56:55ZengWileyCritical Care Research and Practice2090-13132024-01-01202410.1155/2024/1913237Jehovah’s Witness Needing Critical Care: A Narrative Review on the Expanding ArsenalRyan Davids0Gareth Robinson1Charmé Van Tonder2Jordan Robinson3Nadiyah Ahmed4Abdurragmaan Domingo5Department of Anaesthesiology and Critical CareDepartment of Anaesthesiology and Critical CareDepartment of Anaesthesiology and Critical CareDepartment of Anaesthesiology and Critical CareDepartment of Critical CareDepartment of Anaesthesiology and Perioperative MedicinePresent day Jehovah’s Witness (JW) religion accounts for 8.5 million followers. A tenant feature of the JW faith is religious objection to transfusions of blood and blood products. Interpatient variability, as it pertains to blood and blood products may occur; hence, a confidential interview will determine which products individual may consent to (Marsh and Bevan, 2002). This belief and practice place great restrictions on treating medical professionals in scenarios of life-threatening anaemia and active haemorrhage. The review to follow explores the physiological and pathophysiological consequences of severe anaemia. Non-blood transfusion practices are explored, many of which are potentially lifesaving. Particular attention is drawn to the evolving science involving artificial oxygen carriers and their use in emergency situations. A greater safety profile ensures its future use amongst religious objectors to be greatly beneficial. Intravenous iron supplementation has enjoyed a lively debate within the critical care community. A review of recent systematic and meta-analysis supports its use in the ICU; however, more investigation is needed into the complementary use of hepcidin.http://dx.doi.org/10.1155/2024/1913237 |
| spellingShingle | Ryan Davids Gareth Robinson Charmé Van Tonder Jordan Robinson Nadiyah Ahmed Abdurragmaan Domingo Jehovah’s Witness Needing Critical Care: A Narrative Review on the Expanding Arsenal Critical Care Research and Practice |
| title | Jehovah’s Witness Needing Critical Care: A Narrative Review on the Expanding Arsenal |
| title_full | Jehovah’s Witness Needing Critical Care: A Narrative Review on the Expanding Arsenal |
| title_fullStr | Jehovah’s Witness Needing Critical Care: A Narrative Review on the Expanding Arsenal |
| title_full_unstemmed | Jehovah’s Witness Needing Critical Care: A Narrative Review on the Expanding Arsenal |
| title_short | Jehovah’s Witness Needing Critical Care: A Narrative Review on the Expanding Arsenal |
| title_sort | jehovah s witness needing critical care a narrative review on the expanding arsenal |
| url | http://dx.doi.org/10.1155/2024/1913237 |
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