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Donation after Brain-Stem Death DBD

Donation after Brain-Stem Death DBD. Dr Rowan Burnstein Dr Dale Gardiner Dr Gerlinde Mandersloot 10 th June 2013 . Session Objectives. Present regional data for DBD Understand that DBD gives better organs than DCD

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Donation after Brain-Stem Death DBD

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  1. Donation after Brain-Stem DeathDBD Dr Rowan Burnstein Dr Dale Gardiner Dr Gerlinde Mandersloot 10th June 2013

  2. Session Objectives • Present regional data for DBD • Understand that DBD gives better organs than DCD • Increase rate of neurological confirmation of death by increasing confidence in the Diagnosis of Death • Increase quality of DBD organs • adoption of extended care bundle and compliance with the six early interventions in donor optimisation • collaboration in Scout pilot Organ Donation Past, Present and Future

  3. Regional Data EASTERN Dr Rowan Burnstein Addenbrookes Hospital - CLOD

  4. Donation after Brain Death (DBD) Mechanically ventilated patient where death has been confirmed using neurological criteria. EASTERN 74 donors (2012-2013) 89.7% increase (from 5 years ago) Lungs Heart Small Intestine Kidneys Liver Pancreas

  5. Donation in the Eastern Team 2003-2013 EASTERN 148.4% 89.7% 247.8% 5 Organ Donation Past, Present and Future

  6. Donation in the Eastern Team 2003-2013 EASTERN 6 Organ Donation Past, Present and Future

  7. best transplant outcome favours DCD DBD kidneys intestine lungs pancreas liver heart

  8. 100 87 86 80 82 78 76 76 76 76 74 74 74 73 60 ND tested (%) 40 20 0 North South South South South Eastern London Midlands Northern Scotland Yorkshire Northern East West West Wales Ireland Central Team -------- National rate DBD- Eastern Neurological death testing rate EASTERN 1st 1 April 2012 to 31 March 2013, data as at 4 April 2013 Organ Donation Past, Present and Future

  9. 100 15 7 10 17 8 1 16 18 14 12 13 80 11 2 3 5 4 9 60 ND tested (%) 40 20 0 6 0 5 10 15 20 25 30 35 40 45 50 55 Number of neurological death suspected patients Trust National rate 95% Lower CL 95% Upper CL 99.8% Lower CL 99.8% Upper CL DBD- Eastern Neurological death testing rate EASTERN 1 April 2012 to 31 March 2013, data as at 4 April 2013 Organ Donation Past, Present and Future

  10. Mean no. of organs donated per DBD donor EASTERN Northern (1st) : Every 10 donors save 1 more life than we do 2nd 1 April 2012 to 31 March 2013, data as at 4 April 2013 Organ Donation Past, Present and Future

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