Recommendations for Evaluation and Selection of Deceased Organ Donor: Position Statement of ISCCM

Chaudhry, Dhruva; Govil, Deepak; Samavedam, Srinivas; Kar, Arindam; Pandit, Rahul; Kulkarni, Atul P; Zirpe, Kapil; Dixit, Subhal; Mishra, Rajesh; Pande, Rajesh; Tiwari, Anand M; Gopal, Palepu; Subramanian, S.

doi:10.5005/jp-journals-10071-24190

Indian Journal of Critical Care Medicine

2022

DOI: 10.5005/jp-journals-10071-24190

|View full text |Cite

Recommendations for Evaluation and Selection of Deceased Organ Donor: Position Statement of ISCCM

Dhruva Chaudhry¹,

Deepak Govil²,

Srinivas Samavedam³

et al.

Abstract: There is a wide gap between patients who need transplants and the organs that are available in India. Extending the standard donation criterion is certainly important to address the scarcity of organs for transplantation. Intensivists play a major role in the success of deceased donor organ transplants. Recommendations for deceased donor organ evaluation are not discussed in most intensive care guidelines. The purpose of this position statement is to establish current evidence-based recommendations for multipr… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article4

Relationship

Self Cite0

Independent4

Authors

Journals

Cited by 4 publications

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Deceased Donor Liver Transplantation in India: First Report of 5-y Outcomes

Rajakannu,

Rammohan,

Narasimhan

et al. 2024

Transplantation

View full text Add to dashboard Cite

Background. Paucity of deceased donor livers has resulted in a 10-fold rise in living donor liver transplantations (LDLTs) performed in India over the past decade. Nonetheless, number of deceased donor liver transplantation (DDLT) performed has improved with the establishment of simplified legal framework for certification of brain death and organ donation. In this study, we present our outcomes of DDLT performed at various centers, comparing their outcomes and provide a snapshot of the increasing number of DDLT across the state over the years. Methods. All consecutive patients who underwent liver transplants from January 2010 till December 2019 by our transplant team in the state of Tamil Nadu, India, were included in the study. The program was established initially at the primary hospital in the year 2010 and with the evolution of the initial experience, transplant programs were expanded to the others hospital from the year 2015. Preoperative clinical data, intraoperative characteristics, and posttransplant outcomes of DDLT were analyzed from our prospective database. Results. A total of 362 DDLTs (331 adults, 31 children) were performed at 11 centers. Median (range) model for end-stage liver disease score was 16 (6–39). Forty-eight split, 11 combined liver kidney, and 4 auxiliary DDLTs were performed. One-, 3-, and 5-y survival was 87.2%, 80.4%, and 76.6% in adults and 80.6%, 80.6%, and 80.6% in children, respectively. Conclusions. In a country where over 80% of the LTs are performed as LDLT, we provide the first report of a heartening trend of increasing number of DDLT programs being established with excellent 5-y outcomes.

show abstract

Deceased Donor Liver Transplantation in India: First Report of 5-y Outcomes

Rajakannu,

Rammohan,

Narasimhan

et al. 2024

Transplantation

View full text Add to dashboard Cite

show abstract

Tele-ICU enabled management of an organ donor in an under-resourced setting

Dasari,

Reddy,

Parmar

et al. 2024

BMJ Case Rep

View full text Add to dashboard Cite

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.

show abstract

Management of Potential Organ Donor: Indian Society of Critical Care Medicine—Position Statement

Mani,

Karanth,

Prabhakar

et al. 2024

Indian Journal of Critical Care Medicine

View full text Add to dashboard Cite

A bstract This position statement is documented based on the input from all contributing coauthors from the Indian Society of Critical Care Medicine (ISCCM), following a comprehensive literature review and summary of current scientific evidence. Its objective is to provide the standard perspective for the management of potential organ/tissue donors after brain death (BD) in adults only, regardless of the availability of technology. This document should only be used for guidance only and is not a substitute for proper clinical decision making in particular circumstances of any case. Endorsement by the ISCCM does not imply that the statements given in the document are applicable in all or in a particular case; however, they may provide guidance for the users thus facilitating maximum organ availability from brain-dead patients. Thus, the care of potential brain-dead organ donors is “caring for multiple recipients.” How to cite this article Zirpe K, Pandit R, Gurav S, Mani RK, Prabhakar H, Clerk A, et al . Management of Potential Organ Donor: Indian Society of Critical Care Medicine—Position Statement. Indian J Crit Care Med 2024;28(S2):S249–278.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Recommendations for Evaluation and Selection of Deceased Organ Donor: Position Statement of ISCCM

Cited by 4 publications

References 54 publications

Deceased Donor Liver Transplantation in India: First Report of 5-y Outcomes

Deceased Donor Liver Transplantation in India: First Report of 5-y Outcomes

Tele-ICU enabled management of an organ donor in an under-resourced setting

Management of Potential Organ Donor: Indian Society of Critical Care Medicine—Position Statement

Contact Info

Product

Resources

About