DBD Dr Fran OHiggins Dr Dale Gardiner Dr Gerlinde Mandersloot 9 th July 2013 Session Objectives Present regional data for DBD Understand that DBD gives better organs than DCD Increase rate of neurological confirmation of death by increasing confidence in the Diagnosis of Death ID: 915226
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Slide1
Donation after Brain-Stem DeathDBD
Dr Fran O’Higgins
Dr Dale Gardiner
Dr Gerlinde Mandersloot
9
th
July 2013
Slide2Session ObjectivesPresent regional data for DBDUnderstand that DBD gives better organs than DCDIncrease rate of neurological confirmation of death by increasing confidence in the Diagnosis of Death
Increase quality of DBD organs
adoption of extended care bundle and compliance with the six early interventions in donor optimisation
collaboration in Scout pilot
2
Organ Donation Past, Present and Future
Slide3Regional DataDr Fran O’Higgins
Bristol Royal Infirmary
3
SOUTH WEST
Slide4Donation after Brain Death (DBD)Mechanically ventilated patient where death has been confirmed using neurological criteria.
Kidneys
Liver
Pancreas
Lungs
Heart
Small Intestine
36 donors
(2012-2013)
20.0 % decrease
(from 5 years ago)
SOUTH WEST
Slide5Donation in the South West Team
2003-2013
5
Organ Donation Past, Present and Future
60.7%
-20.0%
11.0%
SOUTH WEST
Slide6Donation in the South West Team
2003-2013
6
Organ Donation Past, Present and Future
SOUTH WEST
Slide7pancreasliver
lungs
kidneys
heart
intestine
DCD
DBD
b
est transplant outcome
favours
Slide8-------- National rate
87
82
76
74
86
78
73
76
76
74
76
74
ND tested (%)
0
20
40
60
80
100
Team
Eastern
London
Midlands
North
West
Northern
Northern
Ireland
Scotland
South
Central
South
East
South
Wales
South
West
Yorkshire
1 April 2012 to 31 March 2013, data as at 4 April 2013
Organ Donation Past, Present and Future
8
5
th
South West Neurological death testing rate
SOUTH WEST
Slide9Organ Donation Past, Present and Future
9
1 April 2012 to 31 March 2013, data as at 4 April 2013
South West Neurological death testing rate
SOUTH WEST
Slide10Mean no. of organs donated per DBD donor
1 April 2012 to 31 March 2013, data as at 4 April 2013
Tied 10
th
Northern (1
st
) :
Every 10 donors save 4 more lives than we do
10
Organ Donation Past, Present and Future
SOUTH WEST