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Florian Piekarski: How Structured PBM Provides an Evidence-Based Framework for Jehovah’s Witnesses
Florian Piekarski/LinkedIn
May 5, 2026, 11:08

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

Florian Piekarski: How Structured PBM Provides an Evidence-Based Framework for Jehovah's Witnesses

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Anesthesiology Ehrenfried Schindler Florian Piekarski Health Hematology Hemostasis Hemostasis News Hemostasis Today Jan Menzenbach Jehovah’s Witnesses Josefin Grabert Jürgen Hersch Mark Coburn Medicine PBM Perioperative Blood Management Tobias Hilbert Transfusion Medicine
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