The Effect of Shortening Confirmed Brain Death Diagnosis TimeOn Organ Donation Rates in the Intensive Care Unit

2011 ◽  
Vol 2 (1) ◽  
pp. 8-11 ◽  
Author(s):  
Cenk Kirakli ◽  
Zeynep Zeren Ucar ◽  
Ayse Berna Anil ◽  
Imran Ozbek
Author(s):  
Özlem Özkan Kuşcu ◽  
Meltem Aktay

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.


Anaesthesia ◽  
2015 ◽  
Vol 70 (10) ◽  
pp. 1130-1139 ◽  
Author(s):  
D. Escudero ◽  
M. O. Valentín ◽  
J. L. Escalante ◽  
A. Sanmartín ◽  
M. Perez-Basterrechea ◽  
...  

2012 ◽  
Vol 21 (5) ◽  
pp. 322-327 ◽  
Author(s):  
Allison S. Cowl ◽  
Brian M. Cummings ◽  
Phoebe H. Yager ◽  
Brenda Miller ◽  
Natan Noviski

Background Organ donation after cardiac death is increasingly implemented, with outcomes similar to those of organ donation after brain death. Many hospitals hesitate to implement a protocol for donation after cardiac death because of the potential negative reactions among health care providers. Objectives To determine the acceptance of a protocol for donation after cardiac death among multidisciplinary staff in a pediatric intensive care unit. Methods An anonymous, 15-question, Likert-scale questionnaire (scores 1–5) was used to determine the opinions of staff about donation after brain death and after cardiac death in a pediatric intensive care unit of a tertiary-care university hospital. Results Survey response rate was 67% (n = 60). All physicians, 89% of nurses, and 82% of the remaining staff members stated that they understood the difference between donation after brain death and donation after cardiac death; staff supported both types of donation, at rates of 90% and 85%, respectively. Staff perception was the same for each type of donation (ρ = 0.82; r = 0.92; P < .001). The 20 staff members who provided care directly to patients who were donors after cardiac death considered such donation worthwhile. However, 60% of those providers offered suggestions to improve the established protocol for donation. Conclusions The multidisciplinary staff has accepted organ donation after cardiac death and has fully integrated this kind of donation without reported differences from their acceptance of donation after brain death.


2019 ◽  
Vol 47 (1) ◽  
pp. 55-61
Author(s):  
Sengul Ozmert ◽  
◽  
Feyza Sever ◽  
Ganime Ayar ◽  
Mutlu Uysal Yazici ◽  
...  

2018 ◽  
Vol 50 (5) ◽  
pp. 1220-1226 ◽  
Author(s):  
M.T. Nakamura ◽  
G.E. Rodio ◽  
C. Tchaicka ◽  
E.F. Padilha ◽  
A.C. Jorge ◽  
...  

Author(s):  
Eelco F.M. Wijdicks

Chapter 3 presents a general overview of religious and cultural beliefs and how they may pertain to the acceptance of brain death and organ donation. It also touches on the role of the clergy in the intensive care unit.


2021 ◽  
Vol 56 (6) ◽  
pp. 638-645
Author(s):  
Faruk Ekinci ◽  
◽  
Dinçer Yıldızdaş ◽  
Özden Özgür Horoz ◽  
Faruk İncecik ◽  
...  

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