Non-Perfused Organ (Lung) Donation: Andrew Healey MD Is it ... · Non-perfused organ donation after...
Transcript of Non-Perfused Organ (Lung) Donation: Andrew Healey MD Is it ... · Non-perfused organ donation after...
Non-Perfused Organ (Lung)
Donation:
Is it feasible and safe?Andrew Healey MD
Disclosure
Salary support - TGLN
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Collaborators
All of the TGLN coordinatorsAll of the PRC StaffSurgical recovery staffRecovering fellowsOffice of the Chief CoronerOsler docs & staff
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CurrentPractice
NPODProtocol
NextSteps
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Today...
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Unanticipated death?
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0
min
ute
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0-9
0 m
ins
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Recovery Team Travel Time
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Perfadex
After consent
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CPAP/Recruitme
ntSetup
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Potential Eligiblen = 51
Referredn = 46
Ruled out prior to approach [n = 34]
Family refused approach [n = 3]Not approached
(resources/family) n = 2Approached by TGLN
n = 9
Preliminary unconfirmed, unpublished data
Nov 1, 2015 - Sept 24, 2016
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Approached by TGLNn = 9
Transplantn = 1
Family declinen = 3
Consented, not recoveredn = 3
Consented, recovered, r/on = 2
Preliminary unconfirmed, unpublished data
Nov 1, 2015 - Sept 24, 2016
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The first case
protocol violation, first case
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Next Steps
DCD Decline“ ”
DCD, failed to progress
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eDCD-NPOD
“Is NPOD possible?”
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eDCD-NPOD
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Tomorrow...
Planned withdrawal
Unexpected death
(NPOD)
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ConclusionsNon-perfused organ donation after
unanticipated cardiac arrest is possible
Culture of organ donation strengthened in ED
Expectation of staff that family will be approached
This is possible even in Coroner cases
Other implications for eDCD-NPOD / timing decline