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Using acute hypervolaemic haemodilution as blood conservation technique in a Jehovah’s witness patient undergoing an emergency transphenoidal surgery: a Sabah experience
  1. Tat Boon Yeap1,
  2. Ming Kai Teah2 and
  3. Sofan Zenian3
  1. 1Medicine Based Disciplines Department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia
  2. 2Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia
  3. 3Neurosurgery Department, Hospital Queen Elizabeth, Kota Kinabalu, Malaysia
  1. Correspondence to Dr Tat Boon Yeap; boontat{at}


Jehovah’s Witnesses (JW) is a branch of Christianity which was founded in 1872. However, their beliefs differ from other Christians in many ways. Majority of JW believe that it is against the teaching of God should they receive blood transfusion, while minority think receiving own blood or others is acceptable. These vast beliefs should always be respected by all medical practitioners to avoid medicolegal implications. The differing beliefs about blood transfusion is certainly a huge challenge to the surgeons and anesthesiologists, especially dealing with major surgeries. Thus, effective surgical and anaesthetic techniques are focused to minimise blood loss to avoid unnecessary blood transfusion. We report a JW patient who successfully underwent an emergency endoscopic transsphenoidal surgery secondary to pituitary apoplexy; highlighting our intraoperative acute hypervolaemic haemodilution technique to reduce blood loss.

  • anaesthesia
  • pituitary disorders
  • neuroanaesthesia

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  • Contributors SZ was the neurosurgeon in charge of this patient. MKT and TBY was the neuroanaesthetist in charge during the surgery. MKT was the senior anaesthetic registrar in charge of the surgery.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.