What’s Being Transplanted Sawiji 2015

7/24/2019 Whats Being Transplanted Sawiji 2015

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The Need:

Whats Being Transplanted? Organs:

in adults & children with end-stageorgan failure

Heart

Heart-Lung

Lung single or double

Liver

Kidney

Kidney-Pancreas

Pancreas only

Intestine


3/23

Organ Donor

DemographicsAGE

NOTE: Data subject to change due to future data submission or correction.

January 2000 through December 2000

0 - 5

4%

6 - 104%

11 - 15

4%16 - 20

18%

21 - 309%

31 - 4013%

41 - 50

21%

51 - 5511%

56 - 606%

61 - 656%

66 - 704%

82 recovered donors


4/23

Transplant waiting list as of

February 24, 200380,432 patients are currently waiting nationwide for a live-

saving organ transplant.

Over 2,000 patients are waiting here in Virginia.

Three Virginians die each wee waiting.

The Problem:Nearly 2,000 Virginians are waiting for an

organ transplant

Every week three Virginians die waiting foran organ transplant

As of October 8, 200, 82,808 were waiting fo

an organ transplant in the !nited "tates#


5/23

THE NEE: O!GAN ONO!" AN #AT$ENT" A$T$NG19 through 2000

0

10000

20000

0000

!0000

"0000

#0000

$0000

%0000

0000

1%% 1% 10 11 12 1 1! 1" 1# 1$ 1% 1 2000

'rgan (onors Patients )aiting


6/23

Organ Donor Criteria

*ge is genera!!yless than%0+ but is based on ,atientscurrent .edical history

(ead by /eurologic riteria rain (ead3

4edical history is e5a.inedat the ti.e of death

6ree of HI7 all serologies are e5a.ined at

ti.e of death


7/23

Death byNeurological Criteria*n individual with

irreversible cessation

of all functions of the

entire brain+ including

the brainste.+ is dead8

9*4* 2!#:21%!-21%#+ 1%1


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Organ Donor

Demographics&O

NOTE: Data subject to change due to future data submission or correction.

January 2000 through December 2000

11

15

45

6

3

2

0 " 10 1" 20 2" 0 " !0 !" "0

;


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Arrival at

Hospital

EMS

Recognition asPotential Donor

BrainDeath

Referral to LifeNetfor Initial Evaluation

Authorization

Donor Management with LifeNetDonor Management with LifeNet

Organ

Resuscitation(Enhance organoxygenation& perfusion)

Organ PlacementSerologyLab resultsOR time

Coordinateteams

Organ Recoveryin OR

Trans

plant

Organ Donor Case Overview


10/23

Tissue Donor Criteria

(onation occurs aftercardiac death

riteria:*ge > $0 ?ecovered within 2! hours

after death if body is cooled inthe first 12 hours

/o active+ trans.issibledisease

/o autoi..une disorder


11/23

The Need: Whats

Being Transplanted Heart valves

Pericardiu.


12/23

Eye Donor Criteria

(onation occurs after cardiacdeath

riteria:

/o u,,er age li.it 1 year to #% years

cornea trans,lant

Less than 1 year or greater than #%years

research History of cancer is acce,table

'ther research for ,atients withhistory of glauco.a+ diabetes+ etc8


13/23

The Need:

Whats Being Transplanted? E'es:

ornea+


14/23

The Donor Card

* donor card is now recogniCed as a legally bindingdocu.ent and cannot be overturned by the fa.ily8

*.end.ent is ,ossible

(onation by (onor (esignationD


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17/23

The way to succeed:

save7lives.org

A new way for Virginians torecord their donation decisions A$ebsite where Virginians can learn

%ore abo&t organ donation and%ake an infor%ed decision

An on'line process that is si%pleand convenient


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Common Concerns

About Donation (isfigure.ent

6uneral *rrange.ents

6inancial ?es,onsibility ?eligious eliefs

I cannot be a donorbecause of .y .edical

history83 If I want to be a donor+ they

wont try and save .eE3


21/23

Some Donation

Controversies )ho should be

trans,lantedF

G8


22/23

Some Donation

Controversies How should organ

donation be increasedF

6inancial Incentives 4ore Public BducationF

Presu.ed onsentF


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(&ick)i%e* and a)+,, -!nco%pressed. deco%pressorare needed to see this pict&re#

What’s Being Transplanted Sawiji 2015

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