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 AllocationPaired 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

Comfort

Gives some meaning to the death

Honors loved one’s wishes

Family empowerment

Contribution to society

Family choice

Benefits to the Donor Family

Specific Opportunities . . .Organs Options:• Heart• Lungs• Liver• Kidneys• Pancreas– Islet cells

• Small Bowel

Tissue Options:• Heart for valves• Bone and Connective Tissue• Skin• Corneas• Vessels

Brain Death Determination

• Clinical Exam– Cranial Reflexes– Apnea Test

• Confirmatory Tests– EEG–Blood Flow

StudiesReversible conditions must be corrected before testinge.g. hypothermia, drug intoxication, metabolic imbalances, severe hypotension

Artwork- Biocom 1995

Cerebral Blood Flow Study

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