This may not allow enough time for your body to make enough new blood to replace what you banked before surgery. You may have less blood than normal at the time of surgery, so your body may not be able to lose much more blood before needing a transfusion. In some cases, it's possible that you would not have needed a transfusion at all if you hadn't banked blood before surgery.
You may not be able to bank enough blood for your surgery. Most people are able to safely bank 2 to 4 units of blood before surgery. If you are having major surgery that may require more blood than this, you may need more than you can safely bank.
These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions. I am very concerned about the risk of getting HIV from a blood transfusion.
I know the risk is very small, but even that small risk is too great for my comfort. I am banking my own blood before my surgery to reduce this risk even more. After talking with my doctor, I feel much better about the safety of blood transfusions. She pointed out that the main risk is from having a reaction to the blood, and the risk is about the same whether I bank my own blood or not.
I'm not going to bank my blood before my surgery. I had surgery a few years ago and had to have a blood transfusion. I had a pretty bad reaction to the transfusion, and my doctor tells me this is likely to happen again. It has something to do with an uncommon antibody in my blood that makes it react with most other blood.
Now I have to have surgery again, and my doctor says I can reduce the risk of having another transfusion reaction by banking my own blood ahead of time. But they also said that they will keep looking for blood that my antibodies won't react with. For now, banking and using my own blood seems safest to me.
I was considering banking my blood before my surgery. I asked my doctor how much blood I was likely to need during the surgery, and he said not very much. In fact, it is possible I will not need a transfusion at all. But he also said that if I chose to bank my blood before the surgery, I might become anemic and need a transfusion I could have avoided if I hadn't banked my blood in the first place. I've decided not to bank my blood before my surgery. Your personal feelings are just as important as the medical facts.
Think about what matters most to you in this decision, and show how you feel about the following statements. I'm worried about getting a viral infection from a blood transfusion, even though the risk is low. I'm not worried about getting a viral infection from a blood transfusion.
I have religious or cultural reasons not to receive blood from other people. I understand that even if I bank blood, I may not receive it during surgery. It's not worth it to me to bank blood if there's a chance I'd still get the wrong blood during surgery. Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now.
How sure do you feel right now about your decision? Use the following space to list questions, concerns, and next steps. Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision.
I'm concerned about having a transfusion reaction from donated blood. Are you less likely to have a bad reaction to a transfusion if you use banked blood? Is it common to get a disease from a blood transfusion in Canada?
Could banking blood make you more likely to need a transfusion during surgery? Your surgeon should contact the blood bank if your surgery is postponed. You will be charged a fee to cover the costs of collecting, testing, and processing the blood you receive, regardless of whether you or another donor supplies the blood. Donating Blood for Your Own Use. Additional Donor Requirements. After You've Donated Blood. Can a patient donate his or her own blood? Will giving blood make me weak before my surgery?
Idant Laboratories, which had operated a sperm bank since the early s, helped test the new screening procedure in In fact, the extreme level of testing done at the Idant semen bank provided what Dr. Feldschuh believed was a model for the blood-banking industry to follow. The semen-banking industry, he says, tests for a myriad of infectious diseases that the blood-banking industry does not.
These include cytomegalovirus CMV , which can cause blindness and infertility in women; Epstein-Barr virus EBV , which is a member of the herpes virus family; Chagas disease, a parasite found in Central and South America that causes serious illness; multiple forms of hepatitis; malaria; salmonella septicemia; and other blood-borne pathogens. Feldschuh says a large part of the problem is cost. This differs from the sperm-banking industry, which operates with paid donors. So money is still involved.
The FDA has developed and enforces quality standards, inspects facilities, and monitors reports of errors, accidents, and adverse clinical events. But is the current system working? The blood industry is often left to monitor itself, and reporting of errors and problems is more of an FDA suggestion than a requirement. The agency can propose solutions to problems in the system but then not follow through, as it did in June when it quietly dropped from its regulatory agenda an item that would have mandated a tracking and notification system to alert recipients of contaminated blood products.
Congress has investigated blood banking in the past, but despite uncovering many flaws in the current system, it has made only recommendations. Product recalls and notification regarding possible exposure to blood-borne pathogens are not well communicated to physicians, pharmacists, patients, or the public. Regulation of blood collection, testing, and the production of blood-derived therapeutics is not well coordinated or consistently managed to minimize known risks.
Shockingly, the report drew little media attention. Intravenous drug abusers are routinely deferred. Donors can answer the questions falsely if they so choose, and who is to know better? Blood banks are required to keep a current list of deferred donors and not collect blood from them. Blood that is collected must then be quarantined until it can be tested for infectious agents. Currently, donor blood is required to be screened for hepatitis, human immunodeficiency virus HIV , human T-cell lymphotropic virus HTLV , and syphilis.
Screening for West Nile virus was instituted in The FDA takes the stance that maintaining a blood supply with zero risk of infectious disease transmission may not be possible, but claims that the blood supply is safer now than it ever has been. Feldschuh disagrees.
Feldschuh realized that if the blood-banking industry was not going to change its practices, perhaps he could make a difference in another way. His next move was dictated by the simple fact that the only blood that is truly safe is your own blood. As president of a corporation that had underwriting, he used some of those proceeds to start the Idant Laboratories autologous blood bank, offering people the opportunity to freeze their own blood and thus have access to the safest form of blood if they needed it.
A blood transfusion is the most intimate contact you can have with another human being, says Dr. Medically speaking, it is equivalent to an organ transplant. You avoid the risk of developing antibodies to one of the numerous human blood subtypes and suffering an allergic reaction, as Dr.
Your own blood also carries your own antibodies, a significant advantage if you happen to be having cancer surgery. Feldschuh says. In addition to his important work with autologous blood banking, Dr. This machine, the BVA Blood Volume Analyzer, eliminates the guesswork and risk of over- or under-transfusing a patient.
The donor's body replenishes the fluid lost from donation in about 24 hours. The red blood cells that are lost are generally replaced in a few weeks. Whole blood can be donated once every eight weeks. The approximate distribution of blood types in the US population is as follows. Distribution may be different for specific racial and ethnic groups:. In an emergency, anyone can receive type O red blood cells, and type AB individuals can receive red blood cells of any ABO type.
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