Organ Donations part II
Ray Gabel
How does it affect us in the Midwest?
• WHAT ARE THEY LOOKING FOR?
Strategies to Compensate for organ shortage
Living related donation Living Unrelated Donation Donation after cardiac death-DCD Use of Marginal Donors
Split Liver Transplants
UNOS AllocationPaired Exchange Donation
DHHS Initiatives “Workplace Partnership for Life” National Forum on Donor Registries Gift of Life Medal, Model Curriculum $ 3 million in new grants for innovative
programs Living related donation
Comfort
Gives some meaning to the death
Honors loved one’s wishes
Family empowerment
Contribution to society
Family choice
Benefits to the Donor Family
Specific Opportunities . . .Organs Options:• Heart• Lungs• Liver• Kidneys• Pancreas– Islet cells
• Small Bowel
Tissue Options:• Heart for valves• Bone and Connective Tissue• Skin• Corneas• Vessels
Brain Death Determination
• Clinical Exam– Cranial Reflexes– Apnea Test
• Confirmatory Tests– EEG–Blood Flow
StudiesReversible conditions must be corrected before testinge.g. hypothermia, drug intoxication, metabolic imbalances, severe hypotension
Artwork- Biocom 1995
Cerebral Blood Flow Study
When the brain is injured, it responds like other injuries—it swells. However, the brain is confined in the skull and has no room to swell. This leads to brain death.
Brain Death: Common Injuries
• Cerebral bleed• GSW to the head• Head trauma • Anoxia
– Cardiac Arrest– Asphyxiation– Drowning– Anaphylaxis
THE OR