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Donation after Brain-Stem Death DBD

Donation after Brain-Stem Death DBD. Dr Ranjit Dulai Dr Dale Gardiner Dr Gerlinde Mandersloot 26 th June 2013 . Session Objectives. Present regional data for DBD Understand that DBD gives better organs than DCD

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Donation after Brain-Stem Death DBD

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  1. Donation after Brain-Stem DeathDBD Dr Ranjit Dulai Dr Dale Gardiner Dr Gerlinde Mandersloot 26th June 2013

  2. 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

  3. Regional Data Dr Ranjit Dulai East Kent Hospitals, CLOD SOUTH EAST

  4. Donation after Brain Death (DBD) Mechanically ventilated patient where death has been confirmed using neurological criteria. 61 donors (2012-2013) 8.9% increase (from 5 years ago) Lungs Heart Small Intestine Kidneys Liver Pancreas SOUTH EAST

  5. Donation in the South East Team 2003-2013 SOUTH EAST 19.7% 8.9% 50.0% 5 Organ Donation Past, Present and Future

  6. Donation in the South East Team 2003-2013 SOUTH EAST 6 Organ Donation Past, Present and Future

  7. best transplant outcome favours DCD DBD kidneys intestine lungs pancreas liver heart

  8. 100 87 86 80 82 78 76 76 76 76 74 74 74 73 60 ND tested (%) 40 20 0 North South South South South Eastern London Midlands Northern Scotland Yorkshire Northern East West West Wales Ireland Central Team -------- National rate South East Neurological death testing rate SOUTH EAST 5th 1 April 2012 to 31 March 2013, data as at 4 April 2013 Organ Donation Past, Present and Future

  9. South East Neurological death testing rate SOUTH EAST 1 April 2012 to 31 March 2013, data as at 4 April 2013 Organ Donation Past, Present and Future

  10. Mean no. of organs donated per DBD donor SOUTH EAST Northern (1st) : Every 10 donors save 2 more lives than we do Tied 3rd 1 April 2012 to 31 March 2013, data as at 4 April 2013 Organ Donation Past, Present and Future

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