Blood donations increase through technology

Issue Number: 
424
Author: 
By Lauren NeerGaard, The Associated Press
Published: 
2002-04-10


WASHINGTON - The blood bank in Las Vegas pulled in 7,700 extra donations last year without having to recruit extra donors - at a time when other parts of the country had shortages.

The trick: technology that lets one person give the amount of red blood cells normally gotten from two people, without feeling woozy afterward.

Call it double-blood donation, a small but growing trend that blood bankers hope will boost the nation´s tight supply - a supply many warn is likely to get even tighter with new restrictions on who can donate.

"We saw the writing on the wall because of the shrinking donor base and said, ´We have to do this now,´" says Jan Dalby of United Blood Services, Las Vegas, where double-blood collections are steadily rising.

Typical donations haven´t changed much in decades: A nurse sticks a needle in your arm and fills a bag with whole blood. The blood is shipped to a lab to be separated into different components - red blood cells, platelets and plasma - used for different treatments.

Red blood cells make up the typical transfusion; several thousand gallons a day are used. Ensuring that supply is a challenge. Only about 5 percent of people eligible to donate blood do so, and increasingly strict safety rules limit who can donate. Meanwhile, demand for blood is rising and periodic shortages force hospitals to cancel elective surgeries.

You can´t donate more than about a pint of whole blood at a time. But the new trend: Hook donors to a machine that separates blood on the spot, keeping the red cells and putting the rest back into their bodies right away. Because only part of the blood is taken, banks can collect twice the red cells - totaling about a pint - from a single donor who doesn´t feel the loss.

Removing one compound from blood is called apheresis, and it has long been used in different ways in medicine. Massachusetts-based Haemonetics Inc. pioneered using apheresis to double the red cells collected from regular blood donors.

It does take longer, about 35-45 minutes hooked up to a needle instead of 15. Not everybody is eligible - you must weigh about 20 pounds more than the minimum required to donate blood the regular way.

Donors can give lots of blood with fewer visits. You can donate blood the regular way once every two months - although the average donor does so only twice a year - or give a double red cell donation once every four months.

"I´ve been doing this close to 40 years, giving blood, and it doesn´t feel different," says Robert Drymalski, 71, of Las Vegas, who began donating the new way a year ago. "The only thing you feel is when they push the needle in your arm."

It´s attracting first-time donors, too, Dalby says. When Las Vegas bloodmobiles started carrying the double-blood equipment, they drew 38 percent more red cells during the city´s high-school blood drives, as some teen-agers who once shrugged at donation asked to try out the cool machines.

Double donating is not available everywhere yet. Haemonetics so far has supplied the equipment to five of the American Red Cross´ 36 blood regions; United Blood Services, the largest non-Red Cross blood banker, is spreading it beyond Las Vegas to the 18 states it serves, and smaller blood banks are starting to offer it.

A competitor, Gambro BCT, also sells double-red cell machinery, and other companies are exploring it.

"This technology holds promise to further enhance our nation´s available blood supply," says Dr. Jerry Squires, the Red Cross´ medical director. It "will be especially important for donors whose busy schedules keep them from donating as often as they would like."

Blood banks also could concentrate on persuading people with Type O blood, so-called universal donors, to do a double red cell donation, while the platelets or plasma may be more needed from people with other blood types.


Examples of average blood use
  • People older than 65 use 43 percent of all donated blood. The demand for blood and blood products will increase as the population ages.
  • 25 percent of all blood products are used to treat cancer patients.
  • One out of every 10 people entering a hospital requires blood.Severe-burn victims can need the platelets from about 20 blood unit donations during their treatment.
  • The average liver-transplant patient needs 40 units of red blood cells, 30 units of platelets, 20 bags of cryoprecipitate, and 25 units of fresh frozen plasma.
  • Using modern techniques, one heart surgery uses, on average, the red blood cells and platelets provided by from six blood unit donations.
  • People who have been in car accidents and suffered massive blood loss can need transfusions of 50 units or more of red blood cells.
  • An organ transplant can use 40 units of blood; 30 units of platelets; 20 bags of cryoprecipitate; and 25 units of fresh frozen plasma.
  • The average bone-marrow transplant requires the platelets from about 120 donations, and the red blood cells from about 20 blood unit donations.
    Blood testing and safety

  • Most blood-processing facilities perform 11 or 12 basic tests on every unit of donated blood. Nine of these are for infectious diseases. These tests include screenings for: hepatitis (a liver infection); HIV (the virus that causes AIDS); HTLV-I (a virus associated with a rare form of leukemia); HTLV-II; and syphilis. Other tests are needed, but, are cost prohibitive and therefore not performed. The World Health Organization suggests only nine basic blood tests.
  • Approximately 95 percent of blood samples taken are tested within 24 hours of arrival at the blood-testing laboratory.
    Where to donate Blood in Moscow
  • Moscow Regional Blood Transfusion Center.37a Metallurgov Ul. Tel: 304-0206.
  • Blood Transfusion Center and Blood Bank of the Hematology Institute of the Russian Academy of Medical Sciences. 4a Novy Zykovsky Proyezd. Tel: 212-4511 (round-the-clock blood-delivery service); 212-3533 (donor registration); 212-0572 (chief physician).
  • Blood Transfusion Center of the Moscow Health Care Committee.14 Polikarpova Ul. Tel: 945-7166. 31 Bakinskaya Ul. Tel: 327-5128
  • Blood Transfusion Center of the Ministry of Health Care and Medical Industry of the Russian Federation.50 Zhivopisnaya Ul. Tel: 193-7581
  • Central Blood Transfusion Station of the Ministry of Railroads of the Russian Federation.8 1st Basmanny Per. Tel: 261-1351/3154; 267-3503
  • Lyubertsy district blood-transfusion center. Lyubertsy, Moscow Oblast.64 Oktyabrsky Prospekt. Tel: 503-7227; 559-6322
  • Blood Transfusion Center of the Moscow Railroad.16 Yegoryevskaya Ul. Tel: 353-0452; 352-4423
    Blood facts in general
  • There is no substitute for human blood.
  • Blood makes up about 7 percent of your body´s weight.
  • An average adult has about 14-18 pints of blood.
  • One standard unit or pint of blood equals about two cups.
  • Blood carries oxygen and nutrients to all of the body.
  • Blood carries carbon dioxide and other waste products back to the lungs, kidneys and liver for disposal.
  • Blood fights against infection and helps heal wounds.
  • One unit of donated whole blood is separated into components before use (red blood cells, white blood cells, plasma, platelets, etc.)
  • There are four main blood types: A, B, AB and O.
  • Each blood type is either Rh positive or negative.
  • The three main types of cells making up our blood are the white blood cells, red blood cells and platelets:
  • White blood cells (WBCs) are the largest of the three types of cells and are responsible for fighting infections or germs. White blood cells have a rather short life cycle, living from a few days to a few weeks. One drop of blood can contain from 7,000 to 25,000 white blood cells. If an invading infection fights back and persists, that number will significantly increase.
  • Red blood cells (RBCs) make up approximately 40 percent of blood volume, carry oxygen to the cells of your body and return to the lungs to excrete carbon dioxide.
  • Platelets, the smallest of the blood cells; make up 5 percent to 7 percent of total blood volume. Platelets form a “mesh” net to form clots in the blood to help stop bleeding.
  • There are about 1 billion red blood cells in a few drops of whole blood.
  • Red blood cells live about 120 days in our bodies.
  • Red blood cells can be stored under normal conditions for up to 42 days.
  • Frozen red blood cells can be stored for 10 years, and more.
  • Platelets must be used within five days.
  • Platelets are small blood cells that assist in the process of blood clotting helping those with leukemia and other cancers, controlling bleeding.
  • Plasma, the fourth major component of blood, is a sticky, pale yellow fluid mixture of water, protein and salts. It is 95 percent water. The other 5 percent is made up of nutrients, proteins and hormones.
  • Blood plasma constitutes 55 percent of the volume of human blood.
  • Plasma helps maintain blood pressure, carries blood cells, nutrients, enzymes and hormones, and supplies critical proteins for blood clotting and immunity.
  • Plasma can be collected from a normal healthy donor twice weekly (max. every 48 hours) and is the most frequently donor paid-for component of Blood. Plasma is often referred to as “the college students beer money.”
  • Type AB plasma has been considered as the universal blood-plasma type, and therefore AB plasma is given to patients with any blood type.
  • Frozen Plasma can be stored for up to one year.
  • Human blood, red blood cells, white blood cells, plasma and platelets are made naturally by the body in the bone marrow.
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