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TOPIC
Organ
Donation

Presented by
           HARISH K
What is Organ donation?
           Organ donation is the process of
           removing tissues or organs from a
           live, or recently dead, person to be used
           in another.

           The former is the donor and the latter is
           the recipient.

           People of all ages can become donors.
Types of Dead donors
           Donors
             Almost all organs can be donated by
              someone dead but the organs have to
              reach the recipient within a few hours
              after the donor's death.
               Brain death
               Donation after cardiac death (DCD)
               Tissue donation

          Live donors
             Related and unrelated
Voluntary Donation
              Almost everywhere organ
              donation is voluntary

              Two voluntary systems include –
              1.Opt In - Where the donor gives
              consent

              2.Opt Out - Where anyone who
              has not refused is considered as
              a donor

              In India we have the Opt in
              system, while many western
              countries practice the opt out
              system
Organs for Donation
                 Some of the organs that are
                 commonly donated –
                 •Kidneys
                 • Eyes (cornea)
                 • Heart
                 • Lungs
                 • Liver
                 • Pancreas
                 • Skin
Organ Donor Criteria
 Age is generally less than 80, but is based on
patient’s current medical history
 Dead by neurologic criteria
    “Brain Dead”
 Dead by cardio-pulmonary criteria
 Medical history is examined at the time of death
 Free of HIV
    All serologies are examined at time of death
    HIV to HIV is possible
Tissue Donor Criteria
 Donation occurs after cardiac death
 Criteria:
   Age <70
   Recovered within 24 hours after death if
    body is cooled in the first 12 hours
   No active, transmissible disease
   No autoimmune disorder
Eye Donor Criteria
 Donation occurs after cardiac death
 Criteria:
    No upper age limit
    1 year to 68 years
      Cornea transplant
    Less than 1 year or greater than 68 years
      Research
    History of cancer is acceptable
    Other research for patients with history of
     glaucoma, diabetes, etc.
Other Donation Controversies

 Who should be transplanted?
   Smokers? Alcoholics?
   The very young or old?
   The rich or the poor?
   Those in prison?
   Organ tourism in the developing world
   Only those who have agreed to be donors
    themselves?
Organ shortage - reasons
                 Family consent, and negative
                 attitude contribute towards organ
                 shortage.
                 This could be due to the following
                 reasons –
                 •Religion
                 • Fear, ignorance and
                 misunderstanding
                 • Legal aspects
                 • Media reports on scandals
                 involving organ rackets
Improving Organ Donation


                  Currently organ donation can be termed
                  as a "crisis with a cure." The following
                  are some ways to improve organ
                  donation-
                  • Improved patient care to facilitate
                  easier approach for organ donation, in
                  case of patient death
                  • Trained transplant co-ordinators and
                  grief counsellors
                  • Improved hospital infrastructure
                  • Qualified Intensivists and Surgeons
Improving Organ Donation

                     Currently organ donation can be
                     termed as a "crisis with a cure."
                     The following are some ways to
                     improve organ donation-
                     •Increased HLA typing and cross
                     matching facilities
                     • Improved facilities in
                     packing,transport and retrieval of
                     organs
                     • Supporting organization for
                     networking and registry
                     maintenance
                     • Effective use of technology to
                     facilitate organ donation
Role of society


Society plays a crucial role in transplant programme especially in case of
cadaver transplants.

There is a urgent need for increased public awareness regarding organ
donation and greater effort must be taken to dispel public concerns
regarding the same.

Organ donation can give a new twist to tragedy.
Remember "organs wasted are lives lost".
 Increased public awareness regarding organ donation
 Greater efforts to dispel public concerns
 Organ donation can help with tragedy
 Remember "organs wasted are lives lost”
Harish

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Harish

  • 1.
  • 3. What is Organ donation? Organ donation is the process of removing tissues or organs from a live, or recently dead, person to be used in another. The former is the donor and the latter is the recipient. People of all ages can become donors.
  • 4. Types of Dead donors Donors  Almost all organs can be donated by someone dead but the organs have to reach the recipient within a few hours after the donor's death.  Brain death  Donation after cardiac death (DCD)  Tissue donation  Live donors  Related and unrelated
  • 5. Voluntary Donation Almost everywhere organ donation is voluntary Two voluntary systems include – 1.Opt In - Where the donor gives consent 2.Opt Out - Where anyone who has not refused is considered as a donor In India we have the Opt in system, while many western countries practice the opt out system
  • 6. Organs for Donation Some of the organs that are commonly donated – •Kidneys • Eyes (cornea) • Heart • Lungs • Liver • Pancreas • Skin
  • 7. Organ Donor Criteria  Age is generally less than 80, but is based on patient’s current medical history  Dead by neurologic criteria  “Brain Dead”  Dead by cardio-pulmonary criteria  Medical history is examined at the time of death  Free of HIV  All serologies are examined at time of death  HIV to HIV is possible
  • 8. Tissue Donor Criteria  Donation occurs after cardiac death  Criteria:  Age <70  Recovered within 24 hours after death if body is cooled in the first 12 hours  No active, transmissible disease  No autoimmune disorder
  • 9. Eye Donor Criteria  Donation occurs after cardiac death  Criteria:  No upper age limit  1 year to 68 years  Cornea transplant  Less than 1 year or greater than 68 years  Research  History of cancer is acceptable  Other research for patients with history of glaucoma, diabetes, etc.
  • 10. Other Donation Controversies  Who should be transplanted?  Smokers? Alcoholics?  The very young or old?  The rich or the poor?  Those in prison?  Organ tourism in the developing world  Only those who have agreed to be donors themselves?
  • 11. Organ shortage - reasons Family consent, and negative attitude contribute towards organ shortage. This could be due to the following reasons – •Religion • Fear, ignorance and misunderstanding • Legal aspects • Media reports on scandals involving organ rackets
  • 12. Improving Organ Donation Currently organ donation can be termed as a "crisis with a cure." The following are some ways to improve organ donation- • Improved patient care to facilitate easier approach for organ donation, in case of patient death • Trained transplant co-ordinators and grief counsellors • Improved hospital infrastructure • Qualified Intensivists and Surgeons
  • 13. Improving Organ Donation Currently organ donation can be termed as a "crisis with a cure." The following are some ways to improve organ donation- •Increased HLA typing and cross matching facilities • Improved facilities in packing,transport and retrieval of organs • Supporting organization for networking and registry maintenance • Effective use of technology to facilitate organ donation
  • 14. Role of society Society plays a crucial role in transplant programme especially in case of cadaver transplants. There is a urgent need for increased public awareness regarding organ donation and greater effort must be taken to dispel public concerns regarding the same. Organ donation can give a new twist to tragedy. Remember "organs wasted are lives lost".  Increased public awareness regarding organ donation  Greater efforts to dispel public concerns  Organ donation can help with tragedy  Remember "organs wasted are lives lost”