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Organ Transplantation

Organ Transplantation. Alyssa Nisotis. Put them all together and get??. Organ Controversies. Criteria for harvesting Conceiving for Organs? Organ Shortage . Brain Death . Early indicators of brain death: Hemodynamic lability Heart rate instability Decreased bronchial secretions

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Organ Transplantation

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  1. Organ Transplantation Alyssa Nisotis

  2. Put them all together and get??

  3. Organ Controversies • Criteria for harvesting • Conceiving for Organs? • Organ Shortage

  4. Brain Death Early indicators of brain death: • Hemodynamic lability • Heart rate instability • Decreased bronchial secretions To complete the documentation of clinical brain death, the physician must demonstrate the following: • Correction of potentially reversible causes of coma • Hypothermia • Sedating medications • Metabolic disturbances • Endocrine disturbances • Hypoxia or hypercarbia • Absence of brainstem reflexes (eg, cornea, pupillary light, oculovestibular, gag, oculocephalic) • Lack of respiratory effort (apnea test, ie, absence of respiratory movement after disconnection from respirator for sufficient duration to have pCO2 rise to >50-60 mm Hg)

  5. Brain death vs. PVS • Brain death and the persistent vegetative state (PVS) share the following features: • 1.) There is death of neurons in the brain; • 2.) Both require an etiology which is capable of causing neuronal death. • 3.) The potential for cognition is totally and permanently lost; • 4.) Intensive medical support is usually withdrawn. In contrast, the diagnosis of brain death depends on death of the brainstem, while PVS implies permanent and total loss of forebrain function. While brainstem death can be diagnosed clinically, accurate prognosis in PVS requires additional investigation. • . Brain death is equivalent to death, while PVS is not; management of the latter is more complex because of medical, social, ethical and legal factors.

  6. Conceiving for donation • Some families have another child to help their sick child live. Like this movie:

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  8. DCD (Donation After Circulatory Death)

  9. Works Cited https://www.google.com/search?q=dcd+organ+donation&rlz=1C1CHFX_enUS570US570&espv=210&es_sm=122&source=lnms&tbm=isch&sa=X&ei=2LVBU4GLAYThsATMhoGoAw&sqi=2&ved=0CAYQ_AUoAQ&biw=1440& http://i2.cdn.turner.com/cnn/dam/assets/130409141844-brain-scan-afterlife-crop-story-top.jpg http://static.ddmcdn.com/gif/organ-transplant-statistic2.gif http://emedicine.medscape.com/article/434643-overview#aw2aab6b5 http://decenthospital.com/Deathsdoor_files/organs.jpg http://acvoice.files.wordpress.com/2014/03/frank.jpg

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