Brain stem death certification protocol

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.

“A Comparative Analysis of the Number of Organ Retrievals in Relation to Potential Donation Qualifications in Populations of Patients From a Single Anesthesiology and Intensive Care Unit in 2017-2018”

“…In the performed analysis, a few essential elements of medical procedures and organization at ICUs were identified as the factors which may have an impact on the quantity of potential and real donors. The identification of patients with low GCS score (3–4 points) who are not treated with deep sedation is a basic feature that draws attention during routine procedures performed at ICUs ( 15 ). Performed at least twice a day, GCS assessments and neurological examinations to check cranial nerves reflexes and the presence of apnea aim at identifying the patients who are undergoing the process of brain death.…”