Lecture 26 Organ Donation Flashcards
What is included ion the organ donation task force report
Establishment of organ donation organisation
Clinical donation lead
NHS board donation committee
Name laws associated with organ donation
Human Tissue Act 2004/6
HTA (Scotland) 2006
What are the details of the HTA (Scotland) 2006
– Prior to approaching relatives ODR must be checked.
– If no entry on ODR approach nearest relative. Establish whether pt carried donor card or expressed wish to donate.
– Where no authorisation by the adult exists, nearest relative may authorise removal of organs/tissues for transplantation.
– Authorisation for transplant cannot be withdrawn.
– Nearest relative can extend authorisation for transplant to include research, education, training or audit.
What are the different type os donors
Blood relative Relative by marriage Friend Paired Altruistic
What organs are involved in sonic organ donation
– Kidney – Liver – Heart – Lung – Pancreas – Small bowel
How do you confirm brain stem death in an organ donor
– Irreversible brain damage – Exclude reversible causes – Exclude depressant drugs – Core temperature >34°C – Exclude metabolic, circulatory and endocrine disorders – Exclude reversible causes of apnoea
What is category 1 circulatory death
Dead at arrival at hospital
What is category 2 circulatory death
Unsuccessful resuscitation
What is category 3 circulatory death
Awaiting cardiac arrest
– These are a group of patients for whom death is inevitable but they do not fulfil brainstem dead criteria.
What is category 4 circulatory death
cardiac arrest in a brainstem dead cadaver
What is category 5 circulatory death
unexpected cardiac arrest in patient in an ITU/ or critical care unit
Describe the process of organ donation
Donor identification- BSD criteria, medical and family history Approach relatives/family Screening Core donor data Electronic offering Donor management Theatre Follow up
