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