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Critical Care: Student/Resident Case Report Poster - Critical Care I |

Treating a Patient With Your Hands Tied: Acute Chest Syndrome in a Jehovah’s Witness

Deepak Vadhera, DO; Frank Senatore, MD; Debapriya Datta, MD
Author and Funding Information

University of CT Health Center, Farmington, CT


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):388A. doi:10.1016/j.chest.2016.08.401
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SESSION TITLE: Student/Resident Case Report Poster - Critical Care I

SESSION TYPE: Student/Resident Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: Acute chest syndrome (ACS) in patients with sickle cell anemia (SCA) is treated with simple or exchange transfusion, analgesics, antibiotics and IV fluids. We present a Jehovah’s Witness (JW) patient with ACS whose religious beliefs precluded use of blood products. She was treated successfully with supportive care (including mechanical ventilation, sedation, paralysis, erythropoesis stimulation) and survived despite concomitant hemolytic and aplastic crisis and a hemoglobin (Hb) nadir of 3.1gm/dl.

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