Blood transfusions save lives every day. Hospitals use blood transfusions to help people who are injured, having surgery, getting cancer treatments, or being treated for other diseases that affect the blood, like sickle cell anemia. In fact, about 5 million people each year in the United States get blood transfusions.
As blood moves throughout the body, it carries oxygen and nutrients to all the places they're needed. Blood also collects waste products, like carbon dioxide, and takes them to the organs responsible for making sure wastes leave the body.
Blood is a mixture of cells and liquid. Each has a specific job:
Blood cells are made in the bone marrow (a spongy material inside many of the bones in the body). A full-grown adult has about 10 pints of blood (almost 5 liters) in his or her body.
A transfusion is a simple medical procedure that doctors use to make up for a loss of blood — or for any part of the blood, such as red blood cells or platelets.
A person usually gets a blood transfusion through an intravenous line, a tiny tube that is inserted into a vein with a small needle. The whole process takes about 1 to 4 hours, depending on how much blood is needed.
Blood from a donor needs to match the blood type of the person receiving it. There are eight main blood types:
In emergencies, there are exceptions to the rule that the donor's blood type must match the recipient's exactly. Blood type O negative is the only type of blood that people of all other blood types can receive. Medical teams use it in situations when patients need a transfusion but their blood type is unknown. Because of this, O negative donors are called "universal donors." People who have type AB blood are called "universal recipients" because they can safely receive any type of blood.
A blood transfusion usually isn't whole blood — it could be any one of the blood's components. For example, chemotherapy can affect how bone marrow makes new blood cells. So some people getting treatment for cancer might need a transfusion of red blood cells or platelets.
Other people might need plasma or only certain parts of plasma. People who have hemophilia, a disease that affects the blood's ability to clot, need plasma or the clotting factors contained in plasma to help their blood clot and prevent internal bleeding.
In the United States, the blood supply for transfusions comes from people who volunteer to donate their blood. Donors give blood at local blood banks, at community centers during blood drives, or through the American Red Cross.
When people know they are going to have an operation that might include a blood transfusion, they may choose to receive blood from one of several different places. Most patients choose to receive blood from the donated supply, but some decide to use their own blood. Providing your own blood before surgery is called autologous (pronounced: aw-TAHL-uh-gus) blood donation.
Another option for blood transfusions is called directed donation. This is when a family member or friend donates blood specifically to be used by a designated patient. For directed donation, the donor must have a blood type that is compatible with the recipient's. He or she must also meet all the requirements of a regular volunteer blood donor. There is no medical or scientific evidence that blood from directed donors is safer or better than blood from volunteer donors.
Some people worry about getting diseases from infected blood, but the United States has one of the safest blood supplies in the world. Many organizations, including community blood banks and the federal government, work hard to ensure that the blood supply is safe.
All blood donors must provide a detailed history, including recent travel, infections, medicines, and health problems. In addition, the American Red Cross and other donation groups test donated blood for viruses like HIV (the virus that causes AIDS), hepatitis B, hepatitis C, syphilis, and West Nile virus. Since blood can also be infected with bacteria or parasites, some blood components also get tested for these. If any of these things are found, the blood is destroyed.
The U.S. Food and Drug Administration (FDA) regulates U.S. blood banks. All blood centers must pass regular inspections in order to continue their operations.
Most people's bodies handle blood transfusions very well. But, like any medical procedure, there are some risks, including:
In almost every situation, the benefits of having a blood transfusion far outweigh the risks.
The Red Cross estimates that 15% of all blood donors in the United States are high school or college students. If you are eligible and wish to donate blood, contact your local blood bank or the American Red Cross for more information on what's involved. You could save someone's life.
Reviewed by: Rupal Christine Gupta, MD
Date reviewed: June 2015
|National Heart, Lung, and Blood Institute (NHLBI) The NHLBI provides the public with educational resources relating to the treatment of heart, blood vessel, lung, and blood diseases as well as sleep disorders.|
|American Red Cross The American Red Cross helps prepare communities for emergencies and works to keep people safe every day. The website has information on first aid, safety, and more.|
|American Association of Blood Banks This site of the American Association of Blood Banks describes blood banking and transfusions.|
|U.S. Food and Drug Administration (FDA) The FDA is responsible for protecting the public health by ensuring the safety, efficacy, and security of human and veterinary drugs, biological products, medical devices, our nation's food supply, cosmetics, and products that emit radiation.|
|American Society of Hematology This group provides information relating to blood, blood-forming tissues, and blood diseases.|
|Donating Blood There's a 97% chance that someone you know will need a blood transfusion. Blood donors — especially donors with certain blood types — are always in demand. Find out what's involved in this article for teens.|
|Dealing With Cancer It's unusual for teens to have cancer, but it can happen. The good news is that most will survive and return to their everyday lives. Learn about how to cope if you or someone you know has cancer.|
|Stem Cell Transplants Stem cells can develop into cells with different skills, so they're useful in treating diseases like cancer.|
|Is It Possible to Donate Blood After Having Hepatitis B? Find out what the experts have to say.|
|Hepatitis Hepatitis, an infectious liver disease, is more contagious than HIV, and just like HIV, there is no cure. Find out how to protect yourself.|
|How Do People Get AIDS? AIDS, or acquired immunodeficiency syndrome, is a disease where the body is unable to fight off many infectious diseases as it normally could. Find out how AIDS is spread and how to protect yourself against it.|
|Hemophilia A person who has hemophilia has a tendency to bleed a lot. With new treatments, most people with hemophilia live pretty normal lives.|
|Blood Without blood, our organs couldn't get the oxygen and nutrients they need, we couldn't keep warm or cool off, we couldn't fight infections, and we couldn't get rid of our own waste products. Find out about the mysterious, life-sustaining fluid called blood.|
|Blood Types Blood might look the same and do the same job, but tiny cell markers mean one person's body can reject another person's blood. Find out how blood types work in this article for teens.|
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