Use of retrograde autologous priming and vacuum-assisted venous drainage in a Jehovah's witness patient: a case report.

Authors

  • Guilherme Henrique Matiucci Selinger XMED
  • Erick Vinicius Pereira da Silva Perfusionista Clínico Certificado, XMED – Comércio de Material Médico Hospitalar. Curitiba, PR, Brasil.

Keywords:

Jehovah´s witnesses, Retrograde autologous priming, Vacuum assited venous drainage, Hemodilution, Patient blood management

Abstract

Abstract

Introduction: Cardiopulmonary bypass causes an increase in inflammatory response, coagulation disorders, and hemodilution, which, when accentuated, increases morbidity and mortality. The management of hemodilution becomes complex when dealing with Jehovah's Witness patients.

Case report: We describe a coronary bypass graft in a Jehovah's Witness patient, in whom we opted for retrograde autologous priming and vacuum-assisted venous drainage techniques, as well as autotransfusion equipment. The use of these techniques resulted in reduced hemodilution, with hemoglobin values reaching 12.7 g/dL at the end of the procedure.

Discussion: Low intraoperative hemoglobin levels increase the risk of morbidity and mortality. Blood transfusion carries significant risks, such as increased inflammatory response and increased risk of organ dysfunction. Several strategies are recommended to reduce blood transfusions.

Conclusion: The use of both techniques is safe and can be used routinely, reducing the need for blood transfusions and, consequently, their harmful effects.

 

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Published

2025-12-31

How to Cite

Matiucci Selinger, G. H., & Pereira da Silva, E. V. (2025). Use of retrograde autologous priming and vacuum-assisted venous drainage in a Jehovah’s witness patient: a case report. Revista En Bomba, 9(2), 57–60. Retrieved from https://revistaenbombaalap.org/index.php/bomba/article/view/212

Issue

Vol. 9 No. 2 (2025)

Section

Presentación de casos

License

Copyright (c) 2025 Guilherme Henrique Matiucci Selinger, Erick Vinicius Pereira da Silva

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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