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Organ Donation

Organ Donation. Dr. Rahul Pandit MD, FCICM, FJFICM, FCCP, DA Senior Consultant Intensive Care Fortis Hospital Visiting Consultant Gosford and Wagga Wagga base Hospital Australia. What is Death.

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Organ Donation

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  1. Organ Donation Dr. Rahul Pandit MD, FCICM, FJFICM, FCCP, DA Senior Consultant Intensive Care Fortis Hospital Visiting Consultant Gosford and Wagga Wagga base Hospital Australia

  2. What is Death The Transplantation of Human Organs Act, 1994 (Central Act 42 of 1994),- 'Deceased person' means a person in whom  permanent disappearance of all evidence of life occurs, by reason of brain-stem death or in a cardio-pulmonary sense at any time after live birth has taken place. 'brain-stem death' means the stage at which all functions of the brain stem have permanently and irreversibly ceased.

  3. Governed by law • Only Recognized hospitals • Recognized Doctors • Organ distribution managed by ZTCC/SOTTO/ROTTO/NOTTO • NO chance for any mischief as all governed by government

  4. Why Organ Donation

  5. Organ Failure Incidence in India • Around 150,000 patients on RENAL waiting list 3000 transplants/year • Around 50,000 heart transplant needed Less than 100/year • Around 100,000 Liver needed Less than 1000/year

  6. Why do people need transplants? • Inherited genetic condition • Cardiomyopathy (affects the heart) • Cystic fibrosis (affects the lungs) • Bilary atresia (affects the liver) • Disease or damage to eyes • Congenital defects in young children • Severe trauma from accidents leading to organ failure • Rheumatic fever and other severe illness or disease • Burns can require skin grafts

  7. Anatomy

  8. Causes of Brain Death Cerebral Anoxia Normal

  9. Causes of Brain Death Normal Cerebral Hemorrhage

  10. Causes of Brain Death Subarachnoid Hemorrhage Normal

  11. Causes of Brain Death Normal Trauma

  12. Did you know? • The majority of Individual are willing to become organ (78%) and tissue (75%) donors. • One organ and tissue donor can transform the lives of 10 or more people. • Even if you register as a donor, your next of kin will be asked to confirm your decision. • In India the family will always be asked to confirm the donation decision of the deceased before donation for transplantation can proceed. • Less than 20% of families give consent for organ and tissue donation to proceed.

  13. Organ donation rates in India were 0.05 per millionNow has increased to 0.8 per million

  14. International comparison Spain ~ 35 dpm- Opt out System Australia- 15 dpm- Opt in System

  15. Who can become an organ and tissue donor? • Almost anyone can donate – Allowed 2 years upto 80 years • Don’t assume you are too old, too young or not healthy enough • People who cannot donate organs may still be able to donate tissue • Most religions support organ and tissue donation • Living donors can donate a kidney or partial liver

  16. What can people donate?

  17. Ask and know your loved one’s donation decision • Ask your friends if they have discussed their donation decision with their next of kin. • Organise a speaking event in your community. • Use facebook, whatsapp etc to promote .. • Discuss with your workplace/sporting organisation about becoming a Gift A Life Friend.

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