Conduct a critical appraisal of the literature on a topic of your choice relevant to
an area of nursing (clinical, management or education).
DONOR VIGILANCE
A systematic review of complications associated with whole blood donation and
the safety of the blood donor.
CONTENTS
Introduction……………………………….................................... 1
Purpose……………………………….............................................2
Search Methods……………………………….................................
Vasovagal Reactions……………………………….........................
Findings……………………………….............................................
Review of Adverse Events During or After Donation……………..
Methods Used to Prevent Vasovagal Reactions…………………..
Social Support and Adverse Reactions…………………………….
Conclusion……………………………….........................................
References……………………………….........................................
Introduction:
Throughout the world on a daily basis blood donors attend and donate blood at blood
establishments and suffer no ill effects . However complications do occur and include
both vasovagal and needle injuries (Newman 2004) and can therefore have a negative
impact on the blood donor (France et al 2004) . Donor safety must therefore be the
first and foremost responsibility of all those working in the area of transfusion
medicine (Bonig et al 2011). An ethical requirement of any blood establishment is to
ensure that all donors are made aware of the potential risks involved in donating blood
(Jorgensen et al 2004). Adverse reactions can include the following dizziness, feeling
faint or fainting and nausea i.e. vasovagal reactions and also bruising, haematoma
formation, nerve injury/pain to the venepuncture site . A vasovagal reaction could
lead to a donor injury due to a fall post donation and a needle complication could
cause long lasting complications (Horowitz 2005). Blood establishments
References: Bonig H, Muller M. (2011) Donor safety comes first. Vox Sanguinis 101, 93-184. Eder A.F, Hillyer C.D, Dy B.A, Notari E.P. and Benjamin R.J. (2008) Adverse reactions to allergenic whole blood donation by 16 and 17 year olds 2279-2286. Doi;10.10001/jama.299.19.2279 Eder A.F (2011) Improving safety for young blood donors Hanson S.A, France C.R. (2004) Pre-donation water ingestion attenuates negative reactions to blood donation Hanson S.A. and France C.R. (2009) Social support attenuates presyncopal reactions to blood donation Jorgensen J. and Sorensen B.S.(2008) Donor vigilance. ISBT Science Series 3 48-53 11 Newman B.H. (2004) Blood donor complications after whole blood donation. Current opinion in haematology Newman B.H, Newman D.T, Ahmad R. & Roth A.J, (2006) The effect of whole blood donor adverse events on blood donor return rates Newman B.H. (2011) Editorial, The quest to reduce vasovagal reactions in young blood donors Sorensen B.S, Johnsen S.P, Jorgensen J. (2008) Complications related to blood donation: a population based study Wiltbank T.B, Giordano G.F, Kamel H, Tomasulo P. and Custer B. (2008) Faint and pre-faint reactions in whole blood donors; an analysis of pre-donation measurements and their predictive value. Transfusion 48, 1799-1808. doi: 10.0000/j.1537- 2295.2008.01745.x Zervou E.K, Ziciadis F, Karabini F, Xanthi E, Chrisostomou E, & Tzolou A. (2005) vasovagal reactions in blood donors during or immediately after blood donation