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Donation after Brain-Stem Death DBD

Donation after Brain-Stem Death DBD. Dr Vijay Gupta – North Tees Dr Dale Gardiner Dr Gerlinde Mandersloot 3 rd July 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 Vijay Gupta – North Tees Dr Dale Gardiner Dr GerlindeMandersloot 3rd July 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. NORTHERN Regional Data Dr Vijay Gupta North Tees and Hartlepool, CLOD

  4. Donation after Brain Death (DBD) Mechanically ventilated patient where death has been confirmed using neurological criteria. NORTHERN 54 donors (2012-2013) 12.5% increase (from 5 years ago) Lungs Heart Small Intestine Kidneys Liver Pancreas

  5. Donation in the Northern Team 2003-2013 NORTHERN 50.8% 12.5% 173.3% 5 Organ Donation Past, Present and Future

  6. Donation in the Northern Team 2003-2013 NORTHERN 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 Northern Neurological death testing rate NORTHERN 2nd 1 April 2012 to 31 March 2013, data as at 4 April 2013 Organ Donation Past, Present and Future

  9. Northern Neurological death testing rate NORTHERN 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 NORTHERN Northern (1st) : Every 10 donors save 1-6 more lives than others 1st 1 April 2012 to 31 March 2013, data as at 4 April 2013 Organ Donation Past, Present and Future

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