Donation after BrainStem Death DBD Dr Fran OHiggins
Donation after Brain-Stem Death DBD Dr Fran O’Higgins Dr Dale Gardiner Dr Gerlinde Mandersloot 9 th July 2013 Organ Donation Past, Present and Future
Session Objectives • Present regional data for DBD • Understand that DBD gives better organs than DCD • Increase rate of neurological confirmation of death by increasing confidence in the Diagnosis of Death • Increase quality of DBD organs – adoption of extended care bundle and compliance with the six early interventions in donor optimisation – collaboration in Scout pilot Organ Donation Past, Present and Future 2
Regional Data Dr Fran O’Higgins Bristol Royal Infirmary SOUTH WEST Organ Donation Past, Present and Future 3
Donation after Brain Death (DBD) 36 donors (2012 -2013) Mechanically ventilated patient where death has been confirmed using neurological criteria. 20. 0 % decrease (from 5 years ago) SOUTH WEST Lungs Heart Small Intestine Organ Donation Past, Present and Future Kidneys Liver Pancreas
Donation in the South West Team SOUTH WEST 2003 -2013 11. 0% 60. 7% -20. 0% Organ Donation Past, Present and Future 5
Donation in the South West Team SOUTH WEST 2003 -2013 Organ Donation Past, Present and Future 6
best transplant outcome favours DCD DBD kidneys intestine lungs pancreas liver Organ Donation Past, Present and Future heart
South West Neurological death testing rate SOUTH WEST 100 87 ND tested (%) 80 5 th 86 82 76 78 74 76 76 73 76 74 74 60 40 20 Organ Donation Past, Present and Future sh ire rk Yo h t ut es So W So u Ea th st So W uth al es C Team 1 April 2012 to 31 March 2013, data as at 4 April 2013 So en uth tr al nd la ot Sc or t Ire her la n nd er n N or th N o W rth es t N s nd la M id on nd Lo Ea st er n 0 ---- National rate 8
South West Neurological death testing rate SOUTH WEST 1 April 2012 to 31 March 2013, data as at 4 April 2013 Organ Donation Past, Present and Future 9
Mean no. of organs donated per DBD donor SOUTH WEST Northern (1 st) : Every 10 donors 10 th save 4 more lives than we do 4. 4 Tie d 4. 2 4. 0 3. 8 3. 6 3. 4 es W h So ut Ce n ut h al tra l t es W So So u th do n Lo n re rk sh i Yo nd Sc ot la es t W st No rth Ea h So ut la No rth er M id Ire la nd nd s n er st Ea No rth er n 3. 2 1 April 2012 to 31 March 2013, data as at 4 April 2013 Organ Donation Past, Present and Future 10
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