Non-Perfused Organ (Lung)

Donation:

Is it feasible and safe?Andrew Healey MD

Disclosure

Salary support - TGLN

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Collaborators

All of the TGLN coordinatorsAll of the PRC StaffSurgical recovery staffRecovering fellowsOffice of the Chief CoronerOsler docs & staff

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CurrentPractice

NPODProtocol

NextSteps

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Today...

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Unanticipated death?

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0

min

ute

s6

0-9

0 m

ins

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Recovery Team Travel Time

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Perfadex

After consent

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CPAP/Recruitme

ntSetup

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Potential Eligiblen = 51

Referredn = 46

Ruled out prior to approach [n = 34]

Family refused approach [n = 3]Not approached

(resources/family) n = 2Approached by TGLN

n = 9

Preliminary unconfirmed, unpublished data

Nov 1, 2015 - Sept 24, 2016

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Approached by TGLNn = 9

Transplantn = 1

Family declinen = 3

Consented, not recoveredn = 3

Consented, recovered, r/on = 2

Preliminary unconfirmed, unpublished data

Nov 1, 2015 - Sept 24, 2016

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The first case

protocol violation, first case

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Next Steps

DCD Decline“ ”

DCD, failed to progress

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eDCD-NPOD

“Is NPOD possible?”

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eDCD-NPOD

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Tomorrow...

Planned withdrawal

Unexpected death

(NPOD)

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ConclusionsNon-perfused organ donation after

unanticipated cardiac arrest is possible

Culture of organ donation strengthened in ED

Expectation of staff that family will be approached

This is possible even in Coroner cases

Other implications for eDCD-NPOD / timing decline

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Thank you.ahealey@giftoflife.on.ca