Organ Donations part II Ray Gabel
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