Florian Piekarski: How Structured PBM Provides an Evidence-Based Framework for Jehovah’s Witnesses
Florian Piekarski, Senior Physician in Charge in the Department of Anesthesiology at University Hospital Bonn, shared on LinkedIn about a recent article he and his colleagues co-authored, published in Anesthesiology, adding:
”Just published: Perioperative Blood Management in Jehovah’s Witnesses
Jehovah’s Witnesses decline allogeneic blood products on religious grounds, a reality that demands individualized, ethically grounded, and medically sound perioperative strategies.
Our paper addresses exactly this challenge.
What we cover:
- How structured Patient Blood Management (PBM) provides an evidence-based framework for this patient group
- Preoperative anemia treatment and intraoperative coagulation management
- The role of viscoelastic point-of-care diagnostics and mechanical autotransfusion
- The legal landscape around advance directives, including special considerations for children
- A differentiated informed consent questionnaire developed at the University of Bonn
Key takeaway:
A well-designed, individualized PBM concept can ensure perioperative safety while fully respecting patient autonomy.
Medical excellence and ethical sensitivity are not in conflict.
They go hand in hand.”
Title: Perioperative Blood Management in Jehovah’s Witnesses
Authors: Florian Piekarski, Jan Menzenbach, Tobias Hilbert, Jürgen Hersch, Ehrenfried Schindler, Mark Coburn, Josefin Grabert
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