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Organ Donation
 
 
Dont Take Your Organs & Tissues to Heaven...Heaven Knows We Need Them Here
 
 
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Organ & Tissue Donation
 
INFORMATION ON CADAVERIC ORGAN DONATION
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Use of human organs for therapeutic purposes is no sign of disrespect to the body. In fact it is the greatest gift one can give after death.
As the doctor or nurse in charge of a critically ill person in the ICU, you may face a situation in which your best efforts have failed to save a patients life. As a result of your care, however, some of your patient's organs may be so well- maintained that if transplanted, they can save the life of another person.

Your patient's relatives who have seen the care and effort with which you have worked for their loved one may want to know about donating his/her organs after death. By providing them the information they need and giving them the opportunity to donate organs, you can help them cope with their grief.
 
What kind of patient can be an organ donor?
Patient dying of primary neurological conditions:
arrow Head Injury.
arrow Stroke.
arrow Brain Tumour
arrow Non-recovery of brain function following cardiac arrest or prolonged CPR.
Generally speaking, patients below the age of 60 and above the age of 1 can be potential organ donors. Communicable and active infection must be excluded. The functioning of organs like kidneys and liver must be in normal range.
 
Is it legally possible to donate organs?
The Human Organ Transplant Act 1994 authorises "the removal of human organs for transplantation in the event of brain-stem death, after obtaining consent from the family of the deceased, or in honour of his own consent authorised at any time before his death." With the passing of this Act, India has accepted the international criteria for brain-stem death.

In Karnataka and several other States, the government has recognized a panel of experts qualified to examine and assess whether brain-death has occurred. If two of these specialists along with the treating doctor and the medical superintendent of the hospital agree on the diagnosis and sign the brain death certificate prescribed by law, removal of organs like the heart, liver, kidneys, pancreas and heart valves can be performed. The police need to be informed prior to organ removal and the medico-legal inquest and post-mortem can be done after organ removal. It is important to note that the removal and transplantation of organs can be performed only at centres recognized by the government.
 
What is brain-stem death?
Brain-dead patients are deeply comatose, unresponsive and dependent on a ventilator to breathe. Brain -death is the complete and irreversible cessation (stopping) of all brain function. It means that, as a result of severe insult or injury to the brain the body's blood supply to the brain is blocked, and the brain dies. The law prescribes a certain number of tests to be performed and repeated after six hours before certification of brain-death.

When explaining brain death, it is important the as the family understands that this is a permanent and irreversible condition. Explain that their loved one is already dead and removing the ventilator does not cause death. Never call the ventilator "a life support" mechanism or a machine to "keep the patient alive". This would only confuse the family and make it difficult for them to accept their loved one's death. It would be better to refer to it as a machine to support the "functioning of the organs". Explain that the ventilator provides enough oxygen to keep the heart beating and also performs the function of breathing for their loved one for a limited period of time. Now that the brain is dead these functions can never come back and it is only a matter of time before all organs stop functioning.
 
What are the organs and tissues that can be donated?
arrow Kidneys (2)
arrow Heart (1)
arrow Liver (1)
arrow Pancrease (1)
arrow Blood
arrow Eyes (2)
arrow Small Intestine ( 1 )
arrow Voice Box or Larynx( 1 )
arrow Hand ( 2 )
arrow Penis ( 1 )
arrow Middle Ear Bones ( 2 )
arrow Skin and fascia - Numerous
arrow Bone - Numerous
arrow Cartilage - Numerous
arrow Tendons - Numerous
arrow Veins - Numerous
arrow Arteries - Numerous
arrow Nerves - Numerous
arrow Fingers and Toes ( 20 )
 
 
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