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Chapter 23 - Bleeding and clotting disorders
from Section III: - Organ dysfunction and management
- By Nick Murphy
Edited by Fang Gao Smith, University of Warwick
Edited in association with Joyce Yeung
Book:

Core Topics in Critical Care Medicine

Published online:

06 July 2010

Print publication:

22 April 2010, pp 177-184
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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.