Title: A Decade Experience in Brain Dead Maintenance unit ‘A Stanlean Soujourn’
Authors: Satish Logidasan, Arulraj Panchatcharam, Karthik Prakasam
DOI: https://dx.doi.org/10.18535/jmscr/v5i8.179
Abstract
Brain death diagnosis, certification and maintenance of potential organ donors had always courted confusion, ambiguity and controversy. But with more than 5 million people with end organ failure awaiting organ donation in India, this area of medicine and critical care which remained grey for a long period, became largely debated and discussed in recent times. While many facts had been made clear, some confusions and controversies still exists. In this article we look back on our journey of almost a decade with more than 60 cases of brain dead donors. we share our difficulties be it clinical, logistical or legal and how we managed critical issues in various aspects of brain death certification and donor management and how in the process devised our institutional protocol
Keywords: brain death, apnoea test, RADOPS protocol, T4 protocol.
References
- Minnesota medical association criteria. Brain death concept and criteria
- Cranford RE
- Minn med 1978sep.61(9):561-3
- Arbor , R(2013) Brain Death Assessment , controversy and confounding factors , critical care nurse,33:6,27-46
- Transplantation of human organs act 1994
- Transplantation of human organs (amendm-ent) act, the gazette of india dated 28 sep 2011
- GO ms no 75 health and family welfare department, government of tamil nadu dated
- Shroff S. legal and ethical aspects of organ donation and transplantation. Indian J. urology. 2009;25:348-55
- Amalorpavanathan J, Shroff S, Karunakaran CE, castro R. Annual report from Tamil nadu organ sharing registry year 2013-14.