Cardiac transplant
When time is muscle every second counts. Cardiac failure may not be so terminal after all, with Emily Granger
Tag organ donation
Live(r) Life
Dara Kass experience as physician, mother and organ donator to her son.
Tissue Donation
many more tissue donors available than organ donors; less time critical; early notification allows collection of blood specimens for nucleic acid testing and screening for viral infections; more exclusion criteria (may require full post-mortem to exclude CJD)
Medical Management of Potential Donors
Medical Management of Potential Donors
End-of-Life Care Family Meeting
The End-of-Life Care Family Meeting is a core component of ICU care; Evidence suggests that communication with families is often inadequate; The principles apply to end-of-life discussions in other settings (e.g. ED) as well
Donation after Circulatory Death (DCD)
Donation after Circulatory Death (DCD) refers to organ donation taking place once circulatory arrest has occurred following treatment withdrawal
Contraindications to Solid Organ Donation
DBD = donation after brain death; DCD = donation after cardiac death; WIT = time from treatment withdrawal until cold perfusion (most important phase = when SBP < 60mmHg)
ANZICS Statement on Death and Organ Donation
Changes in Brain Death Consensus Statement (V3.2 2013)
Management of the organ donation patient
OVERVIEW Involves these steps: Early identification Establish rapport with family early Non-coercive discussion with family regarding opportunity to donate Initiate tissue typing, organ function testing and viral screening Maintain extra-cerebral physiological stability Facilitate family time at the bedside Ensure aftercare…