id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-9738	Salvetti, Massimo; Capellini, Sara; Delbon, Paola ; Maghin, Francesca; Muiesan, Maria Lorenza; Conti, Adelaide	Jehovah’s Witness survives severe favism complications: Advance provisions of treatment and new challenges for the physicians	2021	4	.pdf	application/pdf	2917	123	48	For patients “critically ill” (with increase in lactate and base deficit, hemody- namic instability, hypoperfusion or shock) experimental hemoglobin-based oxygen carrier (HBOC) therapy and subsequent monitoring for adverse effects can also be considered.5 Finally, attempts must be made to reduce the risk of iatrogenic anemia, lim- iting laboratory testing as much as possible.6 In case of emergency the initiation of life-saving blood trans- fusion to JW patient who cannot express his or her wishes (e.g., unconscious, dementia or ongoing psychiatric condition) depends on an advance directive. From a medical point of view, the treatment of a patient without blood transfusion has always been an ethical prob- lem that afflicts the physician, who may feel that complying with the patient’s wishes will force them to provide suboptimal care.9,10 On the other hand, clinicians can create opportunities to provide quality care for all patients, if they accept the challenges of learn- ing how to treat patients safely and successfully without the tradi- tional treatment of blood transfusion.11-12 From a legal point of view, the value given to anticipated medical provisions in many Countries represents a fundamental milestone and a defense for healthcare providers who, by complying with the patients’ wishes, are no longer liable for failure to render assistance.	cache/ecj-9738.pdf	txt/ecj-9738.txt