<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-3347</journal-id>
<journal-title><![CDATA[Colombian Journal of Anestesiology]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. colomb. anestesiol.]]></abbrev-journal-title>
<issn>0120-3347</issn>
<publisher>
<publisher-name><![CDATA[SCARE-Sociedad Colombiana de Anestesiología y Reanimación]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-33472019000200132</article-id>
<article-id pub-id-type="doi">10.1097/cj9.0000000000000098</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Challenging the management of bleeding and coagulopathy in ascending aortic surgery in a Jehovah's Witness patient: case report]]></article-title>
<article-title xml:lang="es"><![CDATA[Desafiando el manejo del sangrado y la coagulopatía en cirugía de aorta ascendente en un paciente testigo de Jehová: Reporte de Caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chaparro-Mendoza]]></surname>
<given-names><![CDATA[Katheryne]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prado-Gómez]]></surname>
<given-names><![CDATA[Nathalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acevedo]]></surname>
<given-names><![CDATA[Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fundación Valle del Lili  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>47</volume>
<numero>2</numero>
<fpage>132</fpage>
<lpage>136</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-33472019000200132&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-33472019000200132&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-33472019000200132&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Not transfusing in certain medical settings can be a life-threatening decision; however, Jehovah's Witness patients who reject transfusions have led to learning and multiple medical interventions to avoid it. Despite this, heart surgery follows a specialty that is clearly related to the risk of transfusion, making operating on a Jehovah's Witness patient a challenge.  Case presentation: An ascending aorta surgery was performed on a Jehovah's Witness patient, where different strategies were applied, both for blood saving and for the prevention and management of coagulopathy.  Results: Surgery of the ascending aorta with extracorporeal circulation was successfully performed without requiring administration of blood components.  Conclusions: Adequate planning and implementation of bleeding prevention strategies and coagulopathy management may contribute to avoid and/or reduce the administration of blood products, allowing for the absence of transfusions to not be utopia in major cardiac surgery.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: No transfundir en algunos escenarios médicos puede ser una decisión que amenaza la vida del paciente, sin embargo, los pacientes testigos de Jehová quienes rechazan las transfusiones, han conducido al aprendizaje y realización de múltiples intervenciones médicas para evitarla. A pesar de ello, la cirugía cardiaca sigue una especialidad claramente relacionada con el riesgo de transfusiones, por lo que operar a un paciente testigo de Jehová constituye un reto.  Presentación del caso: Se llevó a cabo una cirugía de aorta ascendente en un paciente testigo de Jehová, donde se aplicaron diferentes estrategias, tanto de ahorro sanguíneo como de prevención y manejo de la coagulopatía.  Resultados: Se llevó a cabo exitosamente una cirugía de aorta ascendente con circulación extracorpórea, sin requerir la administración de componentes sanguíneos  Conclusiones: La adecuada planeación y realización de estrategias de prevención del sangrado y manejo de la coagulopatía pueden contribuir a evitar y/o reducir la administración de hemoderivados, permitiendo que en cirugía cardiaca mayor la ausencia de transfusiones no sea una utopia.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Blood Transfusion]]></kwd>
<kwd lng="en"><![CDATA[Hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[Jehovah's Witnesses]]></kwd>
<kwd lng="en"><![CDATA[Case Reports]]></kwd>
<kwd lng="en"><![CDATA[Blood Coagulation]]></kwd>
<kwd lng="es"><![CDATA[Transfusión sanguínea]]></kwd>
<kwd lng="es"><![CDATA[Hemorragia]]></kwd>
<kwd lng="es"><![CDATA[Testigos de Jehová]]></kwd>
<kwd lng="es"><![CDATA[Informes de Casos]]></kwd>
<kwd lng="es"><![CDATA[Coagulación sanguínea]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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