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Chapter: Clinical Cases in Anesthesia : The Jehovah’s Witness Patient

On the issue of blood, what will a JW refuse and accept?

The Watchtower Bible and Tract Society’s (WTS) policy with regard to blood is based on the JW elders’ interpreta-tion of several biblical passages.

On the issue of blood, what will a JW refuse and accept?

 

The Watchtower Bible and Tract Society’s (WTS) policy with regard to blood is based on the JW elders’ interpreta-tion of several biblical passages. It was determined that the use of a blood transfusion was a violation of God’s law. JWs believe that blood removed from the body must be discarded. Therefore, they will not accept autologous or homologous blood transfusions.


The WTS’s current policy prohibits blood components including red blood cells, white blood cells, platelets, plasma, and hemoglobin solutions.

 

The WTS’s policy considers some blood components and procedures acceptable, including clotting factors, albumin, cell saver, and hemodilution. The latter two options are acceptable only if a continuous circuit is maintained. The list of acceptable blood components and procedures is limited to those that are more commonly associated with use in the operating room. A preoperative agreement should be established concerning the use of any of these components or procedures. Each JW patient must decide whether or not there is an objection to the use of these components or procedures.

In 1996, a group within the JW known as the Associated Jehovah’s Witness for Reform on Blood (AJWRB) was established. This group has engaged in discussion regard-ing their difference of opinion towards the blood policy.

 

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Clinical Cases in Anesthesia : The Jehovah’s Witness Patient : On the issue of blood, what will a JW refuse and accept? |


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