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Donation after Brain-Stem Death DBD

Donation after Brain-Stem Death DBD. Dr Matt Williams Dr Dale Gardiner Dr Gerlinde Mandersloot 10 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 Matt Williams Dr Dale Gardiner Dr GerlindeMandersloot 10th 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 SOUTH CENTRAL Dr Matt Williams Queen Alexandra Hospital, CLOD

  4. Donation after Brain Death (DBD) SOUTH CENTRAL Mechanically ventilated patient where death has been confirmed using neurological criteria. 62 donors (2012-2013) 40.9% increase (from 5 years ago) Lungs Heart Small Intestine Kidneys Liver Pancreas

  5. SOUTH CENTRAL Donation in the South Central Team 2003-2013 46.4% 40.9% 56.0% 5 Organ Donation Past, Present and Future

  6. SOUTH CENTRAL Donation in the South Central Team 2003-2013 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 Central Neurological death testing rate SOUTH CENTRAL 5th 1 April 2012 to 31 March 2013, data as at 4 April 2013 Organ Donation Past, Present and Future

  9. 100 17 3 9 6 80 18 16 1 12 11 2 60 8 ND tested (%) 7 4 40 20 13 0 10 14 15 5 0 5 10 15 20 25 30 35 40 Number of neurological death suspected patients Hospital National rate 95% Lower CL 95% Upper CL 99.8% Lower CL 99.8% Upper CL South Central Neurological death testing rate SOUTH CENTRAL 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 CENTRAL Northern (1st) : Every 10 donors save 5 more life than we do 11th 1 April 2012 to 31 March 2013, data as at 4 April 2013 Organ Donation Past, Present and Future

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