scholarly journals Attitude of Healthcare Professionals: A Major Limiting Factor in Organ Donation from Brain-Dead Donors

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Maciej Kosieradzki ◽  
Anna Jakubowska-Winecka ◽  
Michal Feliksiak ◽  
Ilona Kawalec ◽  
Ewa Zawilinska ◽  
...  
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Intensive Therapy ◽  
Clinical Signs ◽  
Deceased Donor ◽  
Limiting Factor ◽  
Brain Death Diagnosis ◽  
Donation Rate ◽  
Organ Recovery ◽  
Donation Activity

Public attitude toward deceased donor organ recovery in Poland is quite positive, with only 15% opposing to donation of their own organs, yet actual donation rate is only 16/pmp. Moreover, donation rate varies greatly (from 5 to 28 pmp) in different regions of the country. To identify the barriers of organ donation, we surveyed 587 physicians involved in brain death diagnosis from regions with low (LDR) and high donation rates (HDR). Physicians from LDR were twice more reluctant to start diagnostic procedure when clinical signs of brain death were present (14% versus 5.5% physicians from HDR who would not diagnose death, resp.). Twenty-five percent of LDR physicians (as opposed to 12% of physicians from HDR) would either continue with intensive therapy or confirm brain death and limit to the so-called minimal therapy. Only 32% of LDR physicians would proceed with brain death diagnosis regardless of organ donation, compared to 67% in HDR. When donation was not an option, mechanical ventilation would be continued more often in LDR regions (43% versus 26.7%;P<0.01). In conclusion, low donation activity seems to be mostly due to medical staff attitude.

scholarly journals The role of transplant coordinators in ensuring quality of deceased organ donation

2016 ◽  
Vol 63 (2) ◽  
pp. 71-74
Author(s):  
Mirjana Lausevic ◽  
Milica Kravljaca ◽  
Miodrag Milenovic ◽  
Marijana Zivkovic ◽  
Voin Brkovic ◽  
...  
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Deceased Donor ◽  
Multidisciplinary Teams ◽  
Deceased Organ Donation ◽  
Donor Identification ◽  
Organ Quality ◽  
Organ Recovery ◽  
Donor Characteristics

Organ quality depends on variety of factors, including donor characteristics, effects of brain death, donor maintanance, the type of organ perfusion, cold ishaemia time and surgical procedures during organ recovery. Brain death influences on donor hemodynamics, hormone disregulation and consecutive inflammation of donor organs, which leads to organ dysfunction after transplantation. Due to disparity between organ demand and supply, an improvement in the use of allografts from deceased donors that are older, with significant comorbidity, has been observed recently. Assessment regarding deceased donor organ quality is based on donor demographic and clinical characteristics that are related to early and late outcome after transplantation. The transplant coordinator has a role in donor identification and selection, obtaining family consent for organ donation and communication with multidisciplinary teams during organ recovery organisation, which leads to an increased number of available organs and also their quality.

scholarly journals Intensive care practices in brain death diagnosis and organ donation

Anaesthesia ◽  
2015 ◽  
Vol 70 (10) ◽  
pp. 1130-1139 ◽  
Author(s):  
D. Escudero ◽  
M. O. Valentín ◽  
J. L. Escalante ◽  
A. Sanmartín ◽  
M. Perez-Basterrechea ◽  
...  
Keyword(s):  
Intensive Care ◽  
Brain Death ◽  
Organ Donation ◽  
Brain Death Diagnosis ◽  
Care Practices

scholarly journals Brain death diagnosis in adult for potential cadaveric organ donation in Bangladesh

2017 ◽  
Vol 5 (1) ◽  
pp. 48-52
Author(s):  
Fatema Ahmed ◽  
ASM Areef Ahsan ◽  
Mohammad Omar Faruq ◽  
Kaniz Fatema ◽  
Debasish Kumar Saha ◽  
...  
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Clinical Decision Making ◽  
Life Support ◽  
Tertiary Care ◽  
Organ Transplant ◽  
Cns Infection ◽  
Care Hospital ◽  
Brain Death Diagnosis ◽  
Cadaveric Organ

Aim: The objectives of this study was (i) To increase knowledge of the epidemiological and clinical features of patients diagnosed with brain death for potential cadaveric organ donation (ii) To determine the compliance of guidelines brain death based on neurological criteria (iii) To analyse process of clinical decision making regarding continuation of life support after brain death diagnosis.Materials and Method: A prospective observational study was carried out in a 12 bed adult ICU of a tertiary care hospital with neurosurgery services in Bangladesh over a period of 2 years from January 2015 to December2016. All patients admitted during this period were scrutinized for identification of brain death and impending brain death. They were analyzed for causes of brain death, diagnosis of brain death, and the use of ancillary testing. Potential for organ donation was also kept in mind.Results: During the study period, total 1387 patients were admitted into the study ICU and there were 329 deaths. And out of them 69 were diagnosed as brain death. The main causes of brain death were intracerebral haemorrhage (32/69, 46%), followed by ischemic stroke (11/69, 16%), subarachnoid haemorrhage (11/69, 12%), traumatic brain injury (8/69, 12%) and brain tumor and CNS infection. The diagnosis of brain death was made in 33 (47%) cases in the first 48 hours and 23 (33%) cases in 48-96 hours of ICU admission. With the exception of two cases, all study patients had GCS score ? 8 (97%). Brain death was diagnosed according to American Academy of Neurology (AAN) 2010 guidelines. Only two cases Electroencephalography was done for family request. All life-sustaining measures were withdrawn in 67 (97%) cases with consent of family.Conclusion: There is no scarcity of brain death cases in our country according to our study. We need to promote and popularize the cadaveric organ transplant along with living donor transplantation.Bangladesh Crit Care J March 2017; 5(1): 48-52

Pediatric Brain Death Diagnosis in the View of Organ Donation in France

2009 ◽  
Vol 87 (4) ◽  
pp. 616-617 ◽  
Author(s):  
Clémence Hindy-François ◽  
Gilles Orliaguet ◽  
Philippe Meyer ◽  
Pierre Carli ◽  
Stéphane Blanot ◽  
...  
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Brain Death Diagnosis ◽  
Pediatric Brain

scholarly journals Time for determining the diagnosis of brain death and its relation to organ donation

10.3823/2358 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Ingrid Gurgel Amorim ◽  
Ana Elza Oliveira De Mendonça ◽  
Izaura Luzia Silvério Freire ◽  
Thaiza Teixeira Xavier Nobre ◽  
Raysa Da Silva Dantas ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Brain Death ◽  
Organ Donation ◽  
Key Words ◽  
Key Words Brain ◽  
Tissue Donation ◽  
Brain Death Diagnosis ◽  
Death Time ◽  
Donation Process ◽  
Quantitative Descriptive

This study aimed to identify the time needed for confirmation of brain death and its relation to organ donation. Quantitative, descriptive and retrospective study with 175 patients who had diagnosis of brain death completed between January and December 2013. The time from 11 to 20 hours (38.9%) prevailed, with average of 17.91 hours (SD 17.53). There was significant association between the finding of brain death diagnosis in less than 20 hours and the number of donated livers (P = 0.041). We stress the importance of speeding up the diagnosis of brain death as an important step of the donation process, in order to contribute to realization of transplants. Key words: Brain Death; Time; Directed Tissue Donation; Nursing.  

Organ Donation after Cardiac Death in the Pediatric Patient

2018 ◽  
Author(s):  
Caitlin D. Sutton ◽  
David G. Mann
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Organ Transplantation ◽  
Pediatric Patient ◽  
Cardiac Death ◽  
Organ Procurement ◽  
Deceased Donor ◽  
Donation After Cardiac Death ◽  
Donor Organ ◽  
Donor After Brain Death

The need for organ transplantation is ever increasing. Currently there are 115,000 people on the waitlist and the number is still growing. Organs that are transplanted may be obtained via a living or deceased donor. The organs may be obtained from a deceased donor after either brain death or after cardiac death. The majority of deceased donor organ transplants occur via deceased donor after brain death; however, deceased donor after cardiac death organ donation is increasing. This concept of organ transplantation can be quite difficult to discuss with families, therefore, the anesthesiologist and the entire care team must be knowledgeable and respectful regarding the patient’s and families wishes. The team should also be familiar with the overall process and organ procurement protocols of the institution. By having respectful, thoughtful, early discussions regarding the potential for organ donation, families will be able to make better informed decisions.

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