2019 Covers & Artwork

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January 2019, Volume 128, Issue 1

As the executor of allogeneic blood transfusion in the operating room, anesthesiologists often interpret the action as part of a life-saving strategy. It goes against our very instinct to withhold treatment when it is truly indicated. In fact, questions that challenge nothing less than the Hippocratic oath emerge when confronted with patients who refuse blood products. To make matters more complicated, as alternative strategies come to mind to preserve the integrity of oxygen carrying capacity, so too does the logistical baggage attached to these methods. The reader is encouraged to observe the review of blood transfusion alternatives contained in this month's journal as a reflection of their own practice during times of such dilemmas.
Naveen Nathan, MD
Cover Editor and Illustrator