{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T11:02:18Z","timestamp":1793444538881,"version":"4.5.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,9,23]],"date-time":"2021-09-23T00:00:00Z","timestamp":1632355200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>Extracorporeal Membrane Oxygenation (ECMO) is commonly associated with a high blood transfusion requirement. Jehovah\u2019s Witness patients present a particular challenge. The impossibility of transfusing blood cells and starting anticoagulation treatment are common contraindications for this supportive measure. Here we report the case of a Jehovah\u2019s Witness patient with refractory hypoxemia due to influenza A H1N1 pneumonia who required venovenous ECMO for 11\u2009days. We describe the use of a bloodless approach to reduce the waste of blood, avoiding anticoagulation, and improving red blood cell production. We then summarize the current literature on the use of ECMO in Jehovah\u2019s Witness patients and, finally, we propose some recommendations for their management.<\/jats:p>","DOI":"10.1177\/02676591211047774","type":"journal-article","created":{"date-parts":[[2021,9,23]],"date-time":"2021-09-23T08:51:40Z","timestamp":1632387100000},"page":"60-65","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Extracorporeal membrane oxygenation in Jehovah\u2019s Witness patients: Case report, literature review, and summary of recommendations"],"prefix":"10.1177","volume":"39","author":[{"given":"Abrah\u00e1n","family":"Mera","sequence":"first","affiliation":[{"name":"Intensive Care Medicine Department, Vall d\u2019Hebron University Hospital, Barcelona, Spain"},{"name":"Shock, Organ Dysfunction, and Resuscitation Research Group, Vall d\u2019Hebron Research Institute, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4564-2421","authenticated-orcid":false,"given":"Eduard","family":"Argudo","sequence":"additional","affiliation":[{"name":"Intensive Care Medicine Department, Vall d\u2019Hebron University Hospital, Barcelona, Spain"},{"name":"Shock, Organ Dysfunction, and Resuscitation Research Group, Vall d\u2019Hebron Research Institute, Barcelona, Spain"},{"name":"Department of Medicine, Universitat Aut\u00f2noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Mart\u00ednez-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Intensive Care Medicine Department, Vall d\u2019Hebron University Hospital, Barcelona, Spain"},{"name":"Shock, Organ Dysfunction, and Resuscitation Research Group, Vall d\u2019Hebron Research Institute, Barcelona, Spain"},{"name":"Department of Medicine, Universitat Aut\u00f2noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Palmada","sequence":"additional","affiliation":[{"name":"Intensive Care Medicine Department, Vall d\u2019Hebron University Hospital, Barcelona, Spain"},{"name":"Shock, Organ Dysfunction, and Resuscitation Research Group, Vall d\u2019Hebron Research Institute, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilo","family":"Bonilla","sequence":"additional","affiliation":[{"name":"Intensive Care Medicine Department, Vall d\u2019Hebron University Hospital, Barcelona, Spain"},{"name":"Shock, Organ Dysfunction, and Resuscitation Research Group, Vall d\u2019Hebron Research Institute, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9s","family":"Pacheco","sequence":"additional","affiliation":[{"name":"Intensive Care Medicine Department, Vall d\u2019Hebron University Hospital, Barcelona, Spain"},{"name":"Shock, Organ Dysfunction, and Resuscitation Research Group, Vall d\u2019Hebron Research Institute, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0037-0610","authenticated-orcid":false,"given":"Luis","family":"Chiscano","sequence":"additional","affiliation":[{"name":"Intensive Care Medicine Department, Vall d\u2019Hebron University Hospital, Barcelona, Spain"},{"name":"Shock, Organ Dysfunction, and Resuscitation Research Group, Vall d\u2019Hebron Research Institute, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gemma","family":"Mar\u00edn","sequence":"additional","affiliation":[{"name":"Intensive Care Medicine Department, Vall d\u2019Hebron University Hospital, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz","family":"Lozano","sequence":"additional","affiliation":[{"name":"Intensive Care Medicine Department, Vall d\u2019Hebron University Hospital, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabet","family":"Gallart","sequence":"additional","affiliation":[{"name":"Intensive Care Medicine Department, Vall d\u2019Hebron University Hospital, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordi","family":"Riera","sequence":"additional","affiliation":[{"name":"Intensive Care Medicine Department, Vall d\u2019Hebron University Hospital, Barcelona, Spain"},{"name":"Shock, Organ Dysfunction, and Resuscitation Research Group, Vall d\u2019Hebron Research Institute, Barcelona, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red Enfermedades Respiratorias. Instituto de Salud Carlos III, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,9,23]]},"reference":[{"key":"bibr1-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2016.08.011"},{"key":"bibr2-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1177\/0267659112444328"},{"key":"bibr3-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1051\/ject\/201244039"},{"key":"bibr4-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0b013e31829f0efb"},{"key":"bibr5-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000016740"},{"key":"bibr6-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.14276"},{"key":"bibr7-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(18)30452-1"},{"key":"bibr8-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1177\/1060028018766656"},{"key":"bibr9-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.24889"},{"key":"bibr10-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2003.12.007"},{"key":"bibr11-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201605-364SR"},{"key":"bibr12-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2017.02.014"},{"key":"bibr13-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000000442"},{"key":"bibr14-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003650"},{"key":"bibr15-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000000539"},{"key":"bibr16-02676591211047774","doi-asserted-by":"publisher","DOI":"10.1177\/0267659118795390"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591211047774","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591211047774","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591211047774","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:30:53Z","timestamp":1777656653000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591211047774"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,23]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1177\/02676591211047774"],"URL":"https:\/\/doi.org\/10.1177\/02676591211047774","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,23]]}}}