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Dasari P, Reddy M, Parmar DS, Britto C. Tele-ICU enabled management of an organ donor in an under-resourced setting. BMJ Case Rep 2024; 17:e255348. [PMID: 38627056 PMCID: PMC11029231 DOI: 10.1136/bcr-2023-255348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/19/2024] Open
Abstract
A man in his 30s was involved in a road traffic crash in a small town in India, not equipped to deal with cases of brainstem death. He was declared brain-dead after a few hours. The patient's information was forwarded to organ specialists across the country, with the goal of preserving the patient's organs for donation via a tele-ICU model. The team comprising bedside doctors and remote intensivists communicating via an indigenously developed tele-ICU platform managed the patient for 24 hours, following treatment protocols and providing critical care to ensure that the patient's vital organs were optimally perfused. The following morning, specialist teams from a nearby city arrived at the local hospital to retrieve the patient's organs. This fast-tracked organ retrieval and transplant process were made possible through advances in technology and the involvement of specialists from other parts of the country through this tele-ICU model.
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Affiliation(s)
| | | | | | - Carl Britto
- Division of Critical CareDepartment of Anaesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Boston, USA
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2
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Bharambe V, Vijayakumar K, Arunprasad VK, Methepatil S, Jadhav S, Ambike M. A descriptive cross-sectional study to assess knowledge regarding brain death among health professionals in India. INDIAN JOURNAL OF TRANSPLANTATION 2023. [DOI: 10.4103/ijot.ijot_126_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023] Open
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3
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Elcock-Straker B, Manyalich Vidal M, Gomez MP. Kidney Donation and Transplant Outcomes in Trinidad and Tobago: A 15-Year Experience of the National Organ Transplant Unit. EXP CLIN TRANSPLANT 2022; 20:649-656. [DOI: 10.6002/ect.2022.0163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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4
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Javed A. Neurological Associations of SARS-CoV-2 Infection: A Systematic Review. CNS & NEUROLOGICAL DISORDERS DRUG TARGETS 2022; 21:246-258. [PMID: 33593267 DOI: 10.2174/1871527320666210216121211] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 09/05/2020] [Accepted: 09/30/2020] [Indexed: 01/08/2023]
Abstract
BACKGROUND The current ongoing COVID-19 pandemic has compelled us to scrutinize major outbreaks in the past two decades, Severe Acute Respiratory Syndrome (SARS), in 2002, and Middle East Respiratory Syndrome (MERS), in 2012. We aimed to assess the associated neurological manifestations with SARS CoV-2 infection. METHODS In this systematic review, a search was carried out by key-electronic databases, controlled vocabulary, and indexing of trials to evaluate the available pertinent studies which included both medical subject headings (MeSH) and advanced electronic databases comprising PubMed, Embase, Scopus, Cochrane Central Register of Controlled Trials (CENTRAL). Peer-reviewed studies published in English and Spanish were considered, which reported data on the neurological associations of individuals with suspected or laboratory-confirmed SARS-CoV-2 infection. Outcomes were nervous signs or symptoms, symptom severity, and diagnoses. RESULTS Our search identified 45 relevant studies, with 21 case reports, 3 case series, 9 observational studies, 1 retrospective study, 9 retrospective reviews, and 2 prospective reviews. This systematic review revealed that most commonly reported neuronal presentations involved headache, nausea, vomiting and muscular symptoms like fibromyalgia. Anosmia and ageusia, defects in clarity or sharpness of vision (error in visual acuity), and pain may occur in parallel. Notable afflictions in the form of anxiety, anger, confusion, post-traumatic stress symptoms, and post-intensive care syndrome were observed in individuals who were kept in quarantine and those with long-stay admissions in healthcare settings. SARS CoV-2 infection may result in cognitive impairment. Patients with more severe infection exhibited uncommon manifestations, such as acute cerebrovascular diseases (intracerebral haemorrhage, stroke), rhabdomyolysis, encephalopathy, and Guillain-Barré syndrome. CONCLUSION SARS-CoV-2 patients experience neuronal presentations varying with the progression of the infection. Healthcare professionals should be acquainted with the divergent neurological symptoms to curb misdiagnosis and limit long-term sequelae. Health-care planners and policymakers must prepare for this eventuality, while the ongoing studies increase our knowledge base on acute and chronic neurological associations of this pathogen.
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Affiliation(s)
- Amaan Javed
- University College of Medical Sciences (University of Delhi), Dilshad Garden, Delhi,India
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Yong SJ. Persistent Brainstem Dysfunction in Long-COVID: A Hypothesis. ACS Chem Neurosci 2021; 12:573-580. [PMID: 33538586 PMCID: PMC7874499 DOI: 10.1021/acschemneuro.0c00793] [Citation(s) in RCA: 103] [Impact Index Per Article: 34.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Accepted: 02/01/2021] [Indexed: 02/07/2023] Open
Abstract
Long-COVID is a postviral illness that can affect survivors of COVID-19, regardless of initial disease severity or age. Symptoms of long-COVID include fatigue, dyspnea, gastrointestinal and cardiac problems, cognitive impairments, myalgia, and others. While the possible causes of long-COVID include long-term tissue damage, viral persistence, and chronic inflammation, the review proposes, perhaps for the first time, that persistent brainstem dysfunction may also be involved. This hypothesis can be split into two parts. The first is the brainstem tropism and damage in COVID-19. As the brainstem has a relatively high expression of ACE2 receptor compared with other brain regions, SARS-CoV-2 may exhibit tropism therein. Evidence also exists that neuropilin-1, a co-receptor of SARS-CoV-2, may be expressed in the brainstem. Indeed, autopsy studies have found SARS-CoV-2 RNA and proteins in the brainstem. The brainstem is also highly prone to damage from pathological immune or vascular activation, which has also been observed in autopsy of COVID-19 cases. The second part concerns functions of the brainstem that overlap with symptoms of long-COVID. The brainstem contains numerous distinct nuclei and subparts that regulate the respiratory, cardiovascular, gastrointestinal, and neurological processes, which can be linked to long-COVID. As neurons do not readily regenerate, brainstem dysfunction may be long-lasting and, thus, is long-COVID. Indeed, brainstem dysfunction has been implicated in other similar disorders, such as chronic pain and migraine and myalgic encephalomyelitis or chronic fatigue syndrome.
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Affiliation(s)
- Shin Jie Yong
- Department of Biological
Sciences, Sunway University, Petaling Jaya, Selangor 47500, Malaysia
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6
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Lewis A, Liebman J, Bakkar A, Kreiger-Benson E, Kumpfbeck A, Shemie SD, Sung G, Torrance S, Greer D. Determination of Brain Death/Death by Neurologic Criteria in Countries in Asia and the Pacific. J Clin Neurol 2020; 16:480-490. [PMID: 32657070 PMCID: PMC7354977 DOI: 10.3988/jcn.2020.16.3.480] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Revised: 05/06/2020] [Accepted: 05/07/2020] [Indexed: 11/24/2022] Open
Abstract
Background and Purpose We sought to 1) identify countries in Asia and the Pacific that have protocols for the determination of brain death/death by neurologic criteria (BD/DNC) and 2) review the similarities and differences of these protocols in different countries. Methods Between January 2018 and April 2019, we attempted to communicate with contacts
in the 57 countries in Asia and the Pacific to determine if they had official national BD/DNC protocols. We reviewed and compared the identified protocols. Results We identified contacts for 40 (70%) of the 57 countries in Asia and the Pacific, and successfully communicated with 37 of them (93% of countries with contacts identified, 65% of countries in Asia and the Pacific). We found that 24 of the 37 countries had BD/DNC protocols. Two (13%) of the 16 protocols that provided a definition of death referred to brainstem death. Kazakhstan and Israel required only 1 examination to declare BD/DNC, while 10 (71%) of the other 14 protocols required 2 examinations separated by 6–48 hours. The prerequisites, clinical examination, apnea testing procedure, and indications for/selection of ancillary tests varied. Ancillary testing was required for all determinations of BD/DNC in five (21%) countries. Thirteen (54%) of the protocols included information about the time of death, while 12 (50%) of them provided instructions about discontinuation of organ support. Conclusions The protocols for conducting a BD/DNC determination vary markedly among countries in Asia and the Pacific. Since it is optimal to have internationally and intranationally consistent BD/DNC protocols, efforts should be made to harmonize protocols both within this region and worldwide.
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Affiliation(s)
| | | | | | | | | | - Sam D Shemie
- Montreal Children's Hospital, McGill University, Montreal, Canada.,Canadian Blood Services, Ottawa, Canada
| | - Gene Sung
- LAC and USC Medical Center, Los Angeles, CA, USA
| | | | - David Greer
- Boston University School of Medicine, Boston, MA, USA
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Shroff S, Thyagarajan I, Vincent B, Rajendran J, Kanvinde H, Shankar S, Aneesh K. Knowledge and practice of organ donation among police personnel in Tamil Nadu: A cross-sectional study. INDIAN JOURNAL OF TRANSPLANTATION 2020. [DOI: 10.4103/ijot.ijot_56_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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8
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Anwar ASMT, Lee JM. Medical Management of Brain-Dead Organ Donors. Acute Crit Care 2019; 34:14-29. [PMID: 31723901 PMCID: PMC6849043 DOI: 10.4266/acc.2019.00430] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2019] [Revised: 02/19/2019] [Accepted: 02/22/2019] [Indexed: 11/30/2022] Open
Abstract
With improving healthcare services, the demand for organ transplants has been increasing daily worldwide. Deceased organ donors serve as a good alternative option to meet this demand. The first step in this process is identifying potential organ donors. Specifically, brain-dead patients require aggressive and intensive care from the declaration of brain death until organ retrieval. Currently, there are no specific protocols in place for this, and there are notable variations in the management strategies implemented across different transplant centers. Some transplant centers follow their own treatment protocols, whereas other countries, such as Bangladesh, do not have any protocols for potential organ donor care. In this review, we discuss how to identify brain-dead donors and describe the physiological changes that occur following brain death. We then summarize the management of brain-dead organ donors and, on the basis of a review of the literature, we propose recommendations for a treatment protocol to be developed in the future.
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Affiliation(s)
- A S M Tanim Anwar
- Department of Nephrology, Dhaka Medical College Hospital, Dhaka, Bangladesh
| | - Jae-Myeong Lee
- Department of Acute Care Surgery, Korea University Anam Hospital, Seoul, Korea
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9
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Mojtabaee M, Ghaffarian S, Shahryari S, Sadegh Beigee F. Causes of Deceased Donors Loss before Organ Retrieval. TANAFFOS 2018; 17:172-176. [PMID: 30915133 PMCID: PMC6428383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND When potential brain dead donors are in line-up for organ retrieval, their loss would be such a disaster. The aim of this study was to detect the occurrence of different disorders leading to pre-retrieval donor's cardiac arrest and loss in order to prevent this energy and money wasting challenge. MATERIALS AND METHODS In this observational study, medical records of potential donors from 2001 to 2016 who were lost after transfer to Organ Procurement Unit (OPU) of Masih Daneshvari Hospital and before organ donation were reviewed and weigh of every responsible disorder was tested. Equal number of actual organ donors were randomly selected others for comparison. RESULTS In 14 years of experience in organ donation, 46 (3.09%) out of 1485 potential donors were lost after their transfer to OPU with the aim of organ donation. Mean age of donors and their gender were not significantly different to actual donors (37.4 ± 17.7 versus 39.2 ± 18.4, P= 0.2). However, proportion of drug toxicity as the cause of brain death was more common in the lost donors (19.5 versus 5.3%, P= 0.001). Thirteen (28.2%) of the cases had a documented history of ischemic heart disease, which was not as common in actual donors. After excluding hypotension and diabetes insipidus, more incident disorders among the lost donors were metabolic acidosis, hypocalcaemia, hyperglycemia, thrombocytopenia, severe anemia and different presentations of coagulopathy. Clinical conditions of 47.8% of cases were flared up by different severities of acute kidney injury and mean ALT levels were significantly higher than actual donors. All the above mentioned disorders were significantly more common in lost donors than actual ones. CONCLUSION Drug toxicity, history of ischemic heart disease and occurrence of acute kidney injury are associated with more potential donors' loss before organ retrieval.
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Affiliation(s)
| | | | | | - Farahnaz Sadegh Beigee
- Correspondence to: Sadegh Beigee F, Address: Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. Email address:
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Mutnal S, Rangappa P, Jacob I, Rao K. Organ Donation Rate in Brain-Dead Patients in a Tertiary Referral Center. Indian J Crit Care Med 2018; 22:685-686. [PMID: 30294141 PMCID: PMC6161572 DOI: 10.4103/ijccm.ijccm_526_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Shivakumar Mutnal
- Department of Critical Care, Columbia Asia Referral Hospital, Bengaluru, Karnataka, India
| | - Pradeep Rangappa
- Department of Critical Care, Columbia Asia Referral Hospital, Bengaluru, Karnataka, India
| | - Ipe Jacob
- Department of Critical Care, Columbia Asia Referral Hospital, Bengaluru, Karnataka, India
| | - Karthik Rao
- Department of Critical Care, Columbia Asia Referral Hospital, Bengaluru, Karnataka, India
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11
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Brain stem death certification protocol. Med J Armed Forces India 2017; 74:213-216. [PMID: 30093762 DOI: 10.1016/j.mjafi.2017.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2017] [Accepted: 04/25/2017] [Indexed: 11/23/2022] Open
Abstract
Transplantation of Human Organs is guided by laid down specific Laws in India. The organs which are targeted to be transplanted are liver, kidney and cornea. The waiting list is enormous but the donor pool is meagre. This document has been made with a view that the donor pool can be enlarged by identifying patients who are 'Brain Dead' while still not having 'Cardiac Death'. The steps include the prerequisite conditions which must be satisfied by patients who have suspicion of being brain dead, detailed examination of the patient, confirmation of the Brain Death and Counselling of the relatives for organ donation.
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12
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Mohod V, Kondwilkar B, Jadoun R. An institutional study of awareness of brain-death declaration among resident doctors for cadaver organ donation. Indian J Anaesth 2017; 61:957-963. [PMID: 29307900 PMCID: PMC5752781 DOI: 10.4103/ija.ija_430_17] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background and Aims: Brain death is defined as irreversible and complete cessation of all brain function including that of the brainstem. The aim of this study was to assess the level of knowledge and awareness about brain-death declaration among resident doctors. Methods: This was an observational questionnaire-based study conducted in single institute in which 112 junior residents and 46 senior resident doctors in various medical specialities were included by universal sampling method. A prevalidated questionnaire consisting of questions related to knowledge, attitude and performance of brain-death declaration were distributed among residents as per the inclusion criteria to fill in the time limit of 30 min. Statistical tools used were mean and standard deviation, proportion and Chi-square test. Results: A total 87 resident doctors consisting of 71.26% males and 28.73% females responded to the questionnaire. About 91.95% correctly defined it as complete cessation of brain activity including brainstem reflexes. Most of the resident doctors (80.45%) knew about the documentation of absence of brainstem reflexes at 6 h intervals and 64.36% were aware about positive apnoea test. When asked about whether there is legal sanction for disconnecting life support in India, 56.32% said no, and 43.67% said yes. Only 12.64% of resident doctors were aware about a panel of 4 physicians are mandatory to declare brain death in India. Conclusion: Awareness and attitude towards the identification of brain death and possible deceased donor organ transplantation were lacking amongst resident doctors.
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Affiliation(s)
- Vaishali Mohod
- Department of Anaesthesiology and Critical Care, Grant Medical College and Sir J J Group of Hospital, Mumbai, Maharashtra, India
| | - Bharati Kondwilkar
- Department of Anaesthesiology and Critical Care, Grant Medical College and Sir J J Group of Hospital, Mumbai, Maharashtra, India
| | - Rohit Jadoun
- Department of Anaesthesiology and Critical Care, Grant Medical College and Sir J J Group of Hospital, Mumbai, Maharashtra, India
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Pandit RA, Zirpe KG, Gurav SK, Kulkarni AP, Karnath S, Govil D, Abhram B, Mehta Y, Gupta A, Hegde A, Patil V, Bhatacharya P, Dixit S, Samavedan S, Todi S. Management of Potential Organ Donor: Indian Society of Critical Care Medicine: Position Statement. Indian J Crit Care Med 2017; 21:303-316. [PMID: 28584434 PMCID: PMC5455024 DOI: 10.4103/ijccm.ijccm_160_17] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Affiliation(s)
- Rahul Anil Pandit
- Director, Intensive Care Unit, Fortis Hospital, Mumbai, Maharashtra, India
| | - Kapil G Zirpe
- Director, Neurotrauma Unit, Grant Medical Foundation, Ruby Hall Clinic, Pune, Maharashtra, India
| | | | - Atul P Kulkarni
- Department of Anaesthesiology, Critical Care and Pain, Division of Critical Care Medicine, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Sunil Karnath
- Department of Critical Care Medicine, Manipal Hospital, Bengaluru, Karnataka, India
| | - Deepak Govil
- Director, Intensive Care Unit, Medanta Institute of Critical Care and Anaesthesiology, Medanta - The Medicity, Gurgaon, Haryana, India
| | - Babu Abhram
- Department of Critical Care, Apollo Hospital, Chennai, Tamil Nadu, India
| | - Yatin Mehta
- Chairman, Institute of Anaesthesiology and Critical Care, Medanta - The Medicity, Gurgaon, Haryana, India
| | - Abinav Gupta
- Head, Critical Care and Emergency, Sharda Hospital, School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India
| | - Ashit Hegde
- Consultant, P. D. Hinduja Hospital, Mumbai, Maharashtra, India
| | - Vijaya Patil
- Department of Anesthesia, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Pradip Bhatacharya
- Director, Emergency Services and Critical Care, Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, India
| | - Subhal Dixit
- Director, Intensive Care Unit, Sanjeevan and MJM Hospital, Pune, Maharashtra, India
| | - Srinivas Samavedan
- Department of Critical Care, Virinchi Hospital, Hyderabad, Telangana, India
| | - Subhash Todi
- Department of Critical Care, A.M.R.I. Hospital, Kolkata, West Bengal, India
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14
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George S, Thomas M, Ibrahim WH, Abdussalam A, Chandra P, Ali HS, Raza T. Somatic survival and organ donation among brain-dead patients in the state of Qatar. BMC Neurol 2016; 16:207. [PMID: 27799051 PMCID: PMC5088681 DOI: 10.1186/s12883-016-0719-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2016] [Accepted: 10/14/2016] [Indexed: 11/10/2022] Open
Abstract
Background The Qatari law, as in many other countries, uses brain death as the main criteria for organ donation and cessation of medical support. By contrast, most of the public in Qatar do not agree with the limitation or withdrawal of medical care until the time of cardiac death. The current study aims to examine the duration of somatic survival after brain death, organ donation rate in brain-dead patients as well as review the underlying etiologies and level of support provided in the state of Qatar. Methods This is a retrospective study of all patients diagnosed with brain death over a 10-year period conducted at the largest tertiary center in Qatar (Hamad General Hospital). Results Among the 53 patients who were diagnosed with brain death during the study period, the median and mean somatic survivals of brain-dead patients in the current study were 3 and 4.5 days respectively. The most common etiology was intracranial hemorrhage (45.3 %) followed by ischemic stroke (17 %). Ischemic stroke patients had a median survival of 11 days. Organ donation was accepted by only two families (6.6 %) of the 30 brain dead patients deemed suitable for organ donation. Conclusion The average somatic survival of brain-dead patients is less than one week irrespective of supportive measures provided. Organ donation rate was extremely low among brain-dead patients in Qatar. Improved public education may lead to significant improvement in resource utilization as well as organ transplant donors and should be a major target area of future health care policies.
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Affiliation(s)
- Saibu George
- Medical Intensive Care Department, Hamad Medical Corporation, Doha, Qatar
| | - Merlin Thomas
- Pulmonary Department, Hamad Medical Corporation, Doha, Qatar.
| | | | - Ahmed Abdussalam
- Medical Intensive Care Department, Hamad Medical Corporation, Doha, Qatar
| | - Prem Chandra
- Medical Research Centre, Hamad Medical Corporation , Doha, Qatar
| | - Husain Shabbir Ali
- Medical Intensive Care Department, Hamad Medical Corporation, Doha, Qatar
| | - Tasleem Raza
- Medical Intensive Care Department, Hamad Medical Corporation, Doha, Qatar
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15
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Palaniswamy V, Sadhasivam S, Selvakumaran C, Jayabal P, Ananth SR. Single-photon emission computed tomography imaging for brain death donor counseling. Indian J Crit Care Med 2016; 20:477-9. [PMID: 27630461 PMCID: PMC4994129 DOI: 10.4103/0972-5229.188200] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Organ donation awareness is very poor in India. We have a high demand for transplant organs with poor supply. Apnea test is the confirmatory test for brain death in our country. The Transplantation of Human Organs Act does not support any ancillary testing for the confirmation of brain death in our country. Radionuclide scan is used widely in western countries as a confirmatory test. We in our institution used this as a tool for family counseling with successful conversion rate.
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Affiliation(s)
| | - Suganya Sadhasivam
- Adult Intensive Care Unit, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, Tamil Nadu, India
| | - Cibi Selvakumaran
- Adult Intensive Care Unit, Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India
| | - Priyadharsan Jayabal
- Adult Intensive Care Unit, Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India
| | - S R Ananth
- Adult Intensive Care Unit, SRM Hospital and Research Centre, Kanchipuram, Tamil Nadu, India
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16
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Palaniswamy V, Sadhasivam S, Selvakumaran C, Jayabal P, Ananth SR. Organ donation after brain death in India: A trained intensivist is the key to success. Indian J Crit Care Med 2016; 20:593-596. [PMID: 27829715 PMCID: PMC5073774 DOI: 10.4103/0972-5229.192049] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Organ donation after brain death in India is gaining momentum but only in a few states. Tamil Nadu is leading in the country in this regard. Certain cities have performed well compared to Chennai's results. A single tertiary hospital performed 28 donations in a 17 months period with a team of an intensivist and a transplant coordinator. An intensivist needs training and interest in this noble cause. There is no formal training program in this noble cause for doctors in India. A structured formal training needs to be introduced and made mandatory for the doctors in intensive care to make this donation process a successful program.
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Affiliation(s)
| | - Suganya Sadhasivam
- Intensive Care Unit, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, India
| | - Cibi Selvakumaran
- Intensive Care Unit, Kovai Medical Center and Hospital, Coimbatore, India
| | | | - S R Ananth
- Intensive Care Unit, SRM Hospital and Research Centre, Kanchipuram, Tamil Nadu, India
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