Requests for Directed Blood Donations.
| Autor: | Weaver MS; Department of Pediatrics, University of Nebraska, Omaha, Nebraska.; VA National Center for Ethics in Health Care, Washington, District of Columbia., Yee MEM; Department of Pathology and Laboratory Medicine, Center for Transfusion and Cellular Therapy.; Division of Hematology/Oncology, Department of Pediatrics, Emory University, Atlanta, Georgia.; Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, Georgia., Lawrence CE; Division of Pediatric Hematology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.; American Red Cross Biomedical Services, Medical Office, Virginia Region, Richmond, Virginia., Matheny Antommaria AH; Ethics Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio., Fasano RM; Department of Pathology and Laboratory Medicine, Center for Transfusion and Cellular Therapy.; Division of Hematology/Oncology, Department of Pediatrics, Emory University, Atlanta, Georgia.; Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, Georgia. |
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| Jazyk: | angličtina |
| Zdroj: | Pediatrics [Pediatrics] 2023 Apr 01; Vol. 151 (4). |
| DOI: | 10.1542/peds.2022-058183 |
| Abstrakt: | This Ethics Rounds presents a request for directed blood donation. Two parents feel helpless in the setting of their daughter's new leukemia diagnosis and want to directly help their child by providing their own blood for a transfusion. They express hesitancy about trusting the safety of a stranger's blood. Commentators assess this case in the setting of blood as a scarce community resource during a national blood shortage. Commentators review the child's best interest, future risks, and harm-benefit considerations. Commentators recognize the professional integrity, humility, and courage of the physician to admit his own lack of knowledge on the subject and to seek help rather than claim directed donation is not possible without further investigation into options. Shared ideals such as altruism, trust, equity, volunteerism, and solidarity are recognized as values relevant to sustainment of a community blood supply. Pediatric hematologists, a blood bank director, transfusion medicine specialists, and an ethicist conclude that directed donation is only justified by lower risks to the recipient in particular circumstances. (Copyright © 2023 by the American Academy of Pediatrics.) |
| Databáze: | MEDLINE |
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