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Continuing Education in Anaesthesia Critical Care and Pain | Volume 4 Number 2 | 2004
© The Board of Management and Trustees of the British Journal of Anaesthesia 2004

Multiple Choice Answers

The first 150 words of the full text of this article appear below.

27. A blood transfusion may lawfully be administered to:
(a) False; (b) True; (c) False; (d) True; (e) True
(a,c) It is unlawful to administer blood products to an adult who has refused them (written consent or advance directive), even in an emergency. (b) If Jehovah's Witness status is unknown, doctors should proceed with life-saving transfusions. (d,e) For children, a specific issue order is obtained via legal channels allowing transfusion, and in emergencies blood should be given.
28. The following may reduce intraoperative blood transfusion requirements:
(a) True; (b) False; (c) False; (d) True; (e) True
(a) High packed cell volume has been shown to reduce transfusion requirements in orthopaedic surgery. (b) A high percentage of hypochromatic red cells indicates functional iron deficiency and increased likelihood of transfusion requirement. (c,d) A high central venous pressure increases surgical red cell loss, and an epidural will decrease blood loss. (e) Recombinant factor . . . [Full Text of this Article]


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