Procurement after Brain Death

This chapter discusses the practice of organ procurement, including the family’s, physician’s, and organ procurement organization’s roles in this process. Procurement of donated organs is a major clinical undertaking requiring close monitoring and treatment by transplantation coordinators. Most importantly, consent for organ donation is discussed with the family, after the patient has been declared brain dead, and this chapter provides a thorough summary of these discussions. There are many physiological challenges to maintaining the viability of the organ donor, and these are discussed in detail. Each of the major physiological derangements and respective care are discussed. Medical management of the donor is aimed at anticipating the normal physiological changes with brain death and achieving optimal organ perfusion and minimizing ischemic injury.

Organ transplantation service in Ukraine — development problems and ways of overcoming

This review describes the present day state of organ and cell transplantation services in Ukraine. Established have been the main challenges of their development and ways of overcoming. The creation of the National Agency on the transplantation and donation would give an opportunity to determine a single structure responsible for the development of all directions of transplantation service and would allow provide functioning of public health care and research institutions extremely necessary for institute of transplantation coordinators. Some kinds of activity need updating and elaboration of new normative documents. It is only clear-cut regulations and control over activities of organ transplantation that would prevent possible legal infringements in this sphere, thus allowing medical professionals in the field of organ transplantation service in Ukraine work on good international standards.