scholarly journals Intensive care practices in brain death diagnosis and organ donation

Anaesthesia ◽  
2015 ◽  
Vol 70 (10) ◽  
pp. 1130-1139 ◽  
Author(s):  
D. Escudero ◽  
M. O. Valentín ◽  
J. L. Escalante ◽  
A. Sanmartín ◽  
M. Perez-Basterrechea ◽  
...  
Keyword(s):  
Intensive Care ◽  
Brain Death ◽  
Organ Donation ◽  
Brain Death Diagnosis ◽  
Care Practices

scholarly journals Attitude of Healthcare Professionals: A Major Limiting Factor in Organ Donation from Brain-Dead Donors

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Maciej Kosieradzki ◽  
Anna Jakubowska-Winecka ◽  
Michal Feliksiak ◽  
Ilona Kawalec ◽  
Ewa Zawilinska ◽  
...  
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Intensive Therapy ◽  
Clinical Signs ◽  
Deceased Donor ◽  
Limiting Factor ◽  
Brain Death Diagnosis ◽  
Donation Rate ◽  
Organ Recovery ◽  
Donation Activity

Public attitude toward deceased donor organ recovery in Poland is quite positive, with only 15% opposing to donation of their own organs, yet actual donation rate is only 16/pmp. Moreover, donation rate varies greatly (from 5 to 28 pmp) in different regions of the country. To identify the barriers of organ donation, we surveyed 587 physicians involved in brain death diagnosis from regions with low (LDR) and high donation rates (HDR). Physicians from LDR were twice more reluctant to start diagnostic procedure when clinical signs of brain death were present (14% versus 5.5% physicians from HDR who would not diagnose death, resp.). Twenty-five percent of LDR physicians (as opposed to 12% of physicians from HDR) would either continue with intensive therapy or confirm brain death and limit to the so-called minimal therapy. Only 32% of LDR physicians would proceed with brain death diagnosis regardless of organ donation, compared to 67% in HDR. When donation was not an option, mechanical ventilation would be continued more often in LDR regions (43% versus 26.7%;P<0.01). In conclusion, low donation activity seems to be mostly due to medical staff attitude.

Knowledge and Attitudes Toward Organ Donation and Brain Death Among Medical Staff of Intensive Care Units

2017 ◽  
Vol 101 ◽  
pp. S118
Author(s):  
Bilgehan Kahveci ◽  
Kenan Topal ◽  
Cigdem Gereklioglu ◽  
Avsar Zerman ◽  
Sibel Tetiker
Keyword(s):  
Intensive Care ◽  
Brain Death ◽  
Organ Donation ◽  
Intensive Care Units ◽  
Medical Staff ◽  
Knowledge And Attitudes

The relevance of early TCD monitoring in the intensive care units for the confirming of brain death diagnosis

2010 ◽  
Vol 32 (1) ◽  
pp. 73-77 ◽  
Author(s):  
Marinella Marinoni ◽  
Fabiana Alari ◽  
Veronica Mastronardi ◽  
Adriano Peris ◽  
Paola Innocenti
Keyword(s):  
Intensive Care ◽  
Brain Death ◽  
Intensive Care Units ◽  
Brain Death Diagnosis

scholarly journals Retrospective Analysis of Brain Death Cases

2021 ◽  
Author(s):  
Özlem Özkan Kuşcu ◽  
Meltem Aktay
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Brain Death ◽  
Organ Donation ◽  
Death Time ◽  
The Family ◽  
The Mean ◽  
End Stage ◽  
Cadaveric Donors ◽  
Death Cases

Objective: Organ transplantation is important for patients with end-stage organ failure to survive. For this reason, detection of brain death cases and adequate number of donations are necessary. Methods: 31 cases diagnosed with brain death between 01.01.2018-01.01.2020 were evaluated retrospectively. Demographic characteristics, diagnoses causing brain death, time to detect brain death, additional tests applied for the diagnosis of brain death, time to diagnosis of brain death and cardiopulmonary arrest or donation, the proportion of families accepting organ donation, the proportion of donors, organ removed from donors the number and blood types of the cases were recorded Results: The number of cases diagnosed with brain death was 31, and the mean age of the cases was 46,71 (1-89) years. 71% (n=22) of the patients were admitted to the intensive care unit from the emergency department. The most common reason for admission to the intensive care unit 67.7% (n=21) was intracranial bleeding. While the family donation rate was 19% (n=5), three cases who accepted the donation could be donors. The mean age of the patients for whom organ donation was accepted was 35.80±11 years, while the mean age of the patients for whom organ donation was not accepted was 57.43±21.30 years (p=0.04). Conclusion: Due to the increasing number of end-stage organ failure patients awaiting transplantation, it is necessary to increase the number of cadaveric donors. Timely and sufficient detection of brain death cases, increasing the family donation rate and increasing the number of cadaveric donors will be contributed.

scholarly journals Role of intensive care nurses on guiding patients’ families/relatives to organ donation

2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Ahmet Karaman ◽  
Neriman Akyolcu
Keyword(s):  
Intensive Care ◽  
Brain Death ◽  
Organ Donation ◽  
Organ Transplant ◽  
University Hospitals ◽  
Intensive Care Nurses ◽  
Creative Commons ◽  
The Family ◽  
Using Data

Objective: The aim was to determine the role of intensive care nurses on guiding the families/relatives of brain-death patients to organ donation. Methods: This research is a descriptive study. While the population of the study consisted of 1710 nurses working in the intensive care units of public, private and university hospitals in the city of Istanbul, the sample consisted of 353 intensive care nurses selected with stratified random sampling method from the probability sampling methods from this population. The data were collected by using “Data Collection Form”. Results: It was determined that 74.5% of the intensive care nurses carefully listened the family/relatives of the patient with possible brain death or suffering from brain death and supported them to express their emotion and thoughts clearly; when the family/relatives of the patients hospitalised in the intensive care unit wanted to get information about organ donation, 20.7% of the nurses made the preliminary explanation themselves and then guided the patient to an organ transplant coordinator for detailed information and 3.1% of the nurses generally gave this information themselves. Conclusions: It was determined that the knowledge of the intensive care nurses about brain death and organ donation was partially adequate and the function of guiding the families/relatives of brain-death patients to organ donation was mostly done by the physician. doi: https://doi.org/10.12669/pjms.35.4.1285 How to cite this:Karaman A, Akyolcu N. Role of intensive care nurses on guiding patients’ families/relatives to organ donation. Pak J Med Sci. 2019;35(4):---------. doi: https://doi.org/10.12669/pjms.35.4.1285 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Brain death diagnosis in adult for potential cadaveric organ donation in Bangladesh

2017 ◽  
Vol 5 (1) ◽  
pp. 48-52
Author(s):  
Fatema Ahmed ◽  
ASM Areef Ahsan ◽  
Mohammad Omar Faruq ◽  
Kaniz Fatema ◽  
Debasish Kumar Saha ◽  
...  
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Clinical Decision Making ◽  
Life Support ◽  
Tertiary Care ◽  
Organ Transplant ◽  
Cns Infection ◽  
Care Hospital ◽  
Brain Death Diagnosis ◽  
Cadaveric Organ

Aim: The objectives of this study was (i) To increase knowledge of the epidemiological and clinical features of patients diagnosed with brain death for potential cadaveric organ donation (ii) To determine the compliance of guidelines brain death based on neurological criteria (iii) To analyse process of clinical decision making regarding continuation of life support after brain death diagnosis.Materials and Method: A prospective observational study was carried out in a 12 bed adult ICU of a tertiary care hospital with neurosurgery services in Bangladesh over a period of 2 years from January 2015 to December2016. All patients admitted during this period were scrutinized for identification of brain death and impending brain death. They were analyzed for causes of brain death, diagnosis of brain death, and the use of ancillary testing. Potential for organ donation was also kept in mind.Results: During the study period, total 1387 patients were admitted into the study ICU and there were 329 deaths. And out of them 69 were diagnosed as brain death. The main causes of brain death were intracerebral haemorrhage (32/69, 46%), followed by ischemic stroke (11/69, 16%), subarachnoid haemorrhage (11/69, 12%), traumatic brain injury (8/69, 12%) and brain tumor and CNS infection. The diagnosis of brain death was made in 33 (47%) cases in the first 48 hours and 23 (33%) cases in 48-96 hours of ICU admission. With the exception of two cases, all study patients had GCS score ? 8 (97%). Brain death was diagnosed according to American Academy of Neurology (AAN) 2010 guidelines. Only two cases Electroencephalography was done for family request. All life-sustaining measures were withdrawn in 67 (97%) cases with consent of family.Conclusion: There is no scarcity of brain death cases in our country according to our study. We need to promote and popularize the cadaveric organ transplant along with living donor transplantation.Bangladesh Crit Care J March 2017; 5(1): 48-52

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