ANAESTHETIC MANAGEMENT OF A CASE OF INTESTINAL OBSTRUCTION IN A RELIGIOUS SECTION OF JEHOVAH’S WITNESS

A 65-year-old, male Jehovah’s Witness underwent resection of bowel which had been detected after a work-up for pain in abdomen and abdominal distension. Despite proper anaesthetic management and meticulous hemostasis, significant intraoperative blood lossoccurred. The initial preoperative haemoglobin level was 6 gm/dL. Perioperative management requires general anaesthesia with central venous pressure monitoring and fluid and volume management with colloids. The clinical concerns pertaining to the perioperative management of the Jehovah’s Witness are discussed along with the patient’scourse and management.