Anesthesia for Patients Who Refuse Blood Products. Preanesthetic Problems.

Outcome of patients who refuse transfusion after cardiac surgery: a natural experiment with severe blood conservation.

BACKGROUND Jehovah's Witness patients (Witnesses) who undergo cardiac surgery provide a unique natural experiment in severe blood conservation because anemia, transfusion, erythropoietin, and antifibrinolytics have attendant risks. Our objective was to compare morbidity and long-term survival of Witnesses undergoing cardiac surgery with a similarly matched group of patients who received transfu...

Preanesthetic evaluation. Importance of herbal drug usage in anesthesia practice.

P are used widely in many countries as folk remedies, nutritional support and herbal drugs. People believe that these natural products are safe and harmless. Exaggerated news regarding herbal products is available nearly everyday in audiovisual and printed media. Combinations of herbal medicines with conventional prescribed medicines may be dangerous. Especially in the context of anesthesia, wh...

[Children who refuse to go to school].

Assessment for deaths in out-of-hospital heroin overdose patients treated with naloxone who refuse transport.

UNLABELLED Naloxone frequently is used to treat suspected heroin and opioid overdoses in the out-of-hospital setting. The authors' emergency medical services system has operated a policy of allowing these patients, when successfully treated, to sign out against medical advice (AMA) in the field. OBJECTIVES To evaluate the safety of this AMA policy. METHODS This is a retrospective review of ...

Outcome of patients who refuse cystectomy after receiving neoadjuvant chemotherapy for muscle-invasive bladder cancer.

OBJECTIVES To determine the outcome of patients who refuse cystectomy after receiving neoadjuvant chemotherapy for muscle-invasive bladder cancer. METHODS Between 1995 and 2001, 63 patients were evaluated who declined to undergo a planned cystectomy, because they achieved a complete clinical response to neoadjuvant cisplatin-based chemotherapy. Patient, tumor, and treatment features were asse...