Related Experiment Video
Updated: Aug 15, 2026

Transcutaneous Microcirculatory Imaging in Preterm Neonates
Published on: December 31, 2015
A walking blood donor program for seriously ill premature infants
Insights
Premature infants often need blood transfusions due to hypovolemia and frequent lab tests. A walking donor program provides safe, small transfusions, avoiding risks associated with multiple donors for premature infants.
Area of Science:
- Neonatal Medicine
- Pediatric Hematology
Background:
- Premature infants often experience hypovolemia.
- Hyaline membrane disease necessitates frequent laboratory testing, leading to blood loss.
- Blood transfusions are crucial for managing these conditions in neonates.
Purpose of the Study:
- To describe a walking donor program for providing blood transfusions to premature infants.
- To highlight the benefits of this program in contrast to alternative transfusion methods.
Main Methods:
- Implementation of a walking donor program at a premature nursery.
- Collection of small-volume heparinized blood transfusions from walking donors.
- Detailed description of the program's operational procedures.
Main Results:
- The walking donor program successfully provided necessary transfusions to premature infants.
- This program minimized exposure to multiple donors and associated risks.
- Alternative transfusion methods were evaluated and their shortcomings identified.
Conclusions:
- A walking donor program is an effective strategy for transfusing premature infants.
- This approach enhances infant safety by limiting donor exposure.
- The described program offers a viable solution for managing transfusion needs in neonatal intensive care units.
Abstract:
Premature infants with hyaline membrane disease and related disorders are frequently hypovolemic. Furthermore, they frequently require repeated phlebotomies for laboratory evaluation of electrolytes, pH, oxygen tension, and other parameters. Adequate care of such infants is aided by small transfusions of heparinized blood. The walking donor program at the Sacramento Medical Center premature nursery furnishes these transfusions without exposing the infants to the hazards of receiving blood from many different donors. The program is described in detail, and the shortcomings of some of the alternative programs are pointed out.

