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Machine perfusion- Evaluation criteria

Machine perfusion- Evaluation criteria. Machine perfusion- Benefit assessment. Expand organ acceptance criteria Assess function of “extended criteria” organs. From aspiration to national clinical reality?. Technology development. Staff training and competency. Self sufficiency

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Machine perfusion- Evaluation criteria

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  1. Machine perfusion- Evaluation criteria

  2. Machine perfusion- Benefit assessment Expand organ acceptance criteria Assess function of “extended criteria” organs

  3. From aspiration to national clinical reality?

  4. Technology development

  5. Staff training and competency • Self sufficiency • Staff training

  6. Staffing model ? Advanced practitioner in organ preservation and transplantation Donor management Organ perfusion Organ preservation Responsible for “the machine(s)”

  7. Funding

  8. Summary • Machine perfusion is here to stay • In situ and ex situ perfusion required • Normothermic perfusion is likely to be the future • Start simple – NRP • Cheap intervention that may benefit all organs • Further technological refinements are needed • Graft assessment and modulation • Wider applicability

  9. The revolution begins this year

  10. The way forward? • First step • Expand NRP utilisation in the three centres • Allow technological development • Establish training programme • Supportive data for wider applicability • Second step • Expand to other centres adding NMP as it becomes available

  11. How? • NHSBT support • Organ acceptance and distribution • CUSUM exception to promote innovation • Funding • Step 1: £ 40k – capital costs £ 150k – staff costs • Step 2:

  12. Staffing costs for proposed model • Staff costs per centre/zone • 5.5 WTE band 6 • Capital costs per centre/zone • £269,032 • £175k (NRP) • £???k (NMP)

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