ABSTRACT
We present the intraoperative management of a 42-year-old female Jehovah’s Witness with a progressive interstitial lung disease (nonspecific interstitial pneumopathy) who underwent bilateral lobar lung transplantation on extra-corporal life support (ECLS) with minimal blood loss. Due to perioperative anemia treatment consisting of erythropoietin stimulation, intravenous iron treatment, normovolemic hemodilution, cell salvage, and point of care coagulation measurement and treatment, the hemoglobin level decreases only 14 g/L during the operation. We conclude that lung transplantation is feasible in selected Jehovah’s Witness patients with a multidisciplinary team approach using extended patient blood management.
