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Minimal-Exposure Transfusion: A New Approach to Homologous Blood Transfusion

1988; Elsevier BV; Volume: 63; Issue: 9 Linguagem: Inglês

10.1016/s0025-6196(12)62693-7

1942-5546

Mark E. Brecher, S. Breanndan Moore, Howard F. Taswell,

Trauma, Hemostasis, Coagulopathy, Resuscitation

Despite the recommendations by the American Association of Blood Banks, the Community Council of Blood Centers, and the American Red Cross to discourage the use of directed donations (choosing and recruiting of a specific blood donor by or for a specific recipient of a transfusion), many blood banks continue to accept directed donations. In 1986, 391 blood donor centers accredited by the American Association of Blood Banks (centers that collect more than 100 units of blood per year) accepted directed donations (Kehoe P, American Association of Blood Banks: Personal communication). Despite the increased numbers of these donations, objective evidence about directed donations remains scanty and contradictory. In particular, questions about both the serologic and the biologic safety of these donations, hoarding of blood by donors, and the veracity of donor responses remain unresolved. 1 Ballas SK Draper EK Harris M MacCarthy V Designated blood donations (letter to the editor). N Engl J Med. 1984; 310: 124-125 Crossref PubMed Scopus (4) Google Scholar , 2 Smith L Pura L White K Goldfinger D A two year experience with directed blood donations in a large teaching hospital (abstract). Transfusion. 1985; 25: 492 Google Scholar , 3 Brecher ME Borchers G Rosen NR Lord M Directed donations: an underutilized blood donor resource. Lab Med. 1988; 19: 103-105 Google Scholar , 4 Fischer A Pura L Smith L Goldfinger D Safety and effectiveness of directed blood donation in a large teaching hospital (abstract). Transfusion. 1986; 26: 600 Google Scholar , 5 Cordell RR Yalon VA Cigahn-Haskell C McDonough BP Perkins HA Experience with 11,916 designated donors. Transfusion. 1986; 26: 484-486 Crossref PubMed Scopus (45) Google Scholar , 6 Shah VP Molstad JR Segall SL Strand CL A hospital donor room's three year experience with directed donations (abstract). Transfusion. 1986; 26: 599 Google Scholar , 7 Kruskall MS Churchill WH Brauer M Kevy S Ervin T Kurtz S Umlas J Dzik W Designated blood donations (letter to the editor). N Engl J Med. 1984; 310: 1194-1195 Google Scholar , 8 Umlas J Transfusion-related acquired immunodeficiency syndrome and directed donations: would the national blood supply be safer with directed donations?. Hum Pathol. 1986; 17: 108-110 Abstract Full Text PDF PubMed Scopus (7) Google Scholar , 9 Moore SB AIDS, blood transfusions, and directed donations (letter to the editor). N Engl J Med. 1986; 314: 1454 PubMed Google Scholar , 10 Luban NLC Criss VR Coles-Bell S Use of parental and directed donations for pediatric transfusion (abstract). Transfusion. 1987; 27: 574 Google Scholar , 11 Collins AJ Baudin JC Cooper ES Comparison of donor unit exclusion percentages of designated donors vs volunteer donors (abstract). Transfusion. 1987; 27: 575 Google Scholar , 12 Newman B Directed donations—a look at various issues (abstract). Transfusion. 1987; 27: 574 Crossref Google Scholar , 13 Parsons DR Miller DT A proposal to classify directed donors as non-voluntary (abstract). Transfusion. 1987; 27: 575 Crossref Scopus (63) Google Scholar