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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

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Organ Donations part II

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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 Allocation

  • Paired 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


Benefits to the Donor Family

  • Comfort

  • Gives some meaning to the death

  • Honors loved one’s wishes

  • Family empowerment

  • Contribution to society

  • Family choice


Organs Options:

Heart

Lungs

Liver

Kidneys

Pancreas

Islet cells

Small Bowel

Tissue Options:

Heart for valves

Bone and Connective Tissue

Skin

Corneas

Vessels

Specific Opportunities . . .


Brain Death Determination

  • Clinical Exam

    • Cranial Reflexes

    • Apnea Test

  • Confirmatory Tests

    • EEG

    • Blood Flow Studies

Reversible conditions must be corrected before testing

e.g. hypothermia, drug intoxication, metabolic imbalances, severe hypotension


Cerebral Blood Flow Study

Artwork- Biocom 1995


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


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