Fortis Gurgaon Holds the First International Summit on Organ Donation after Circulatory Death
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Fortis Organ Retrieval and Transplant organized India’s first International Summit on Organ Donation after Circulatory Death at Fortis Memorial Research Institute (FMRI), Gurgaon. The Summit is spearheaded by Dr. Avnish Seth, Director FORT – Fortis Organ Retrieval and Transplant. The event was graced by Chief Guest Dr. (Prof) Jagdish Prasad, DG, DGHS, Ministry of Health & Family Welfare.
A beating heart is central to the concept of organ donation following brain death (BD). In BD, injury occurs to the brain so that the brain dies but the heart continues to beat for a few hours or days, thus maintaining vital blood supply to the organs. What if we take organs for transplanting after death, once the heart has stopped? How much time do we have? Do such organs work? What are the legal and ethical issues?
Organ donation after circulatory death (DCD) has been tried in several countries since 1995. It is widely accepted that once the heart has stopped for a period of 2 to 5 minutes, there is no possibility of a person coming back to life and organs like kidneys, liver, pancreas and lungs and even heart can be retrieved and transplanted. Once the heart stops, the attending physician declares death and after a mandatory stand-off period of five minutes, the transplant surgeons begin the surgical recovery of the organs ( with the permission of the family). However, in India there is no clear law on end of life care, withdrawal of life support and passive euthanasia. However, it is estimated that last year the process of organ retrieval could not be completed at least 50 patients with BD even when the families consented to organ donation as the heart stopped before the process of organ retrieval could be completed. This is the scenario for DCD that needs to be considered in India till there is more clarity on laws related to end of life care.
A beating heart is central to the concept of organ donation following brain death (BD). In BD, injury occurs to the brain so that the brain dies but the heart continues to beat for a few hours or days, thus maintaining vital blood supply to the organs. What if we take organs for transplanting after death, once the heart has stopped? How much time do we have? Do such organs work? What are the legal and ethical issues?
Organ donation after circulatory death (DCD) has been tried in several countries since 1995. It is widely accepted that once the heart has stopped for a period of 2 to 5 minutes, there is no possibility of a person coming back to life and organs like kidneys, liver, pancreas and lungs and even heart can be retrieved and transplanted. Once the heart stops, the attending physician declares death and after a mandatory stand-off period of five minutes, the transplant surgeons begin the surgical recovery of the organs ( with the permission of the family). However, in India there is no clear law on end of life care, withdrawal of life support and passive euthanasia. However, it is estimated that last year the process of organ retrieval could not be completed at least 50 patients with BD even when the families consented to organ donation as the heart stopped before the process of organ retrieval could be completed. This is the scenario for DCD that needs to be considered in India till there is more clarity on laws related to end of life care.
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