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Chapter 14 - Organ donation

from Section I: - Specific features of critical care medicine

Published online by Cambridge University Press:  06 July 2010

By
Angeline Simons  and
Joyce Yeung
Edited by
Fang Gao Smith
Edited in association with
Joyce Yeung
Fang Gao Smith
Affiliation:
University of Warwick
Joyce Yeung
Affiliation:
West Midlands Deanery
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Summary

There are four types of organ donation: living donation, xeno-transplantation, non-heart-beating donation (NHBD) and heart-beating donation (HBD). All patients who have confirmed brainstem death can be heart-beating donors. NHBD should be considered in any patient who is above 60 years of age, and has an irreversible condition so that after withdrawing treatment death is inevitable. The Advisory Committee on the Microbiological Safety of Blood and Tissues for Transplantation (MSBT) provides national guidance on donor evaluation and testing. The public is very supportive of organ donation in principle, with 15 million already on the NHS Organ Donor Register. However, the actual donation rate remains poor, partly due to 40% of relatives refusing to give consent. In 2006, the UK government set up the Organ Donation Taskforce (ODTF) to identify barriers to organ donation and draw up actions needed to increase organ donation.

Keywords

Acute Physiology and Chronic Health Evaluationanatomical scoring systemASCOTsequential organ failure assessmentoutcome probability modelMortality Probability Modelfunctional scoring systemgeneric scoring systemsimplified acute physiology scoretrauma and injurity severity score
Type
Chapter
Information
Core Topics in Critical Care Medicine , pp. 91 - 98
Publisher: Cambridge University Press
Print publication year: 2010

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