Procuring Organs For Transplant

Author : Institute of Medicine,Committee on Organ Procurement and Transplantation Policy
Publisher : National Academies Press
Page : 254 pages
File Size : 40,5 Mb
Release : 1999-12-09
Category : Medical
ISBN : 9780309172776

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Organ Procurement and Transplantation by Institute of Medicine,Committee on Organ Procurement and Transplantation Policy Pdf

Each day, nearly 60 Americans receive a transplanted kidney, liver, or other organâ€"a literal "second chance at life"â€"but 11 others die waiting for an organ transplant. The number of donors, although rising, is not growing fast enough to meet the increasing demand. Intended to improve the current system of organ procurement and allocation, the "Final Rule," a 1998 regulation issued by the U.S. Department of Health and Human Services, sparked further controversy with its attempts to eliminate the apparent geographic disparities in the time an individual must wait for an organ. This book assesses the potential impact of the Final Rule on organ transplantation. It also presents new, original analyses of data, and assesses medical practices, social and economic observations, and other information on: access to transplantation services for low-income populations and racial and ethnic minority groups; organ donation rates; waiting times for transplantation; patient survival rates and organ failure rates leading to retransplantation; and cost of organ transplantation services.

Author : Robert S.D. Higgins,Juan A. Sanchez
Publisher : Bentham Science Publishers
Page : 216 pages
File Size : 52,6 Mb
Release : 2018-11-30
Category : Medical
ISBN : 9781681087566

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The Multi-Organ Donor: A Guide to Selection, Preservation and Procurement by Robert S.D. Higgins,Juan A. Sanchez Pdf

Advances in the science of immunology have improved the success rate of organ transplantations since the mid twentieth century. Organ transplantation is now a lifesaving medical procedure for thousands of patients around the world with end-organ diseases. The lifesaving potential of transplantation has been limited by the number and quality of appropriate organ donors. The evolution of brain death criteria by the Harvard Ad-Hoc Committee Report has opened the door to understanding the importance of medical, legal and ethical challenges of organ donation in support of the growth of the transplant science. The possibility of organ donation from living donors has enhanced organ availability for patients with kidney failure. Modern inotropes and immunosuppression regimens have been critical to the success of other organ transplant procedures. However, the cornerstone of successful transplantation continues to be the appropriate selection, evaluation, preservation of organ tissues and the successful surgical procurement process to mitigate the impact of tissue ischemia and reperfusion. In this textbook, the art and science of organ donation and tissue preservation is examined. Through this authoritative text by leaders in the field, the editors provide a state of the art review of modern preservation techniques, patient selection and screening criteria, as well as best practices for multi-organ procurement. Information presented in the book will familiarize readers with the initial steps of determining organ availability which ultimately enables health care professionals to realize the extraordinary potential of successful multi-organ transplant procedures. This guide is intended to be a fundamental resource for students, residents, faculty and staff for all disciplines allied to health care delivery and organ donation.

Author : Andrzej Baranski
Publisher : Springer Science & Business Media
Page : 217 pages
File Size : 53,8 Mb
Release : 2009-03-01
Category : Medical
ISBN : 9781848002517

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Surgical Technique of the Abdominal Organ Procurement by Andrzej Baranski Pdf

The book encompasses Dr Baranski’s 20 year experience in the field of abdominal organ donation. It is a step-by-step guide with photographs and drawings with clear explanations highlighting pitfalls. The book quickly and easily guides the reader through the difficult steps during organ procurement. It is mainly illustration-based, without much text, and covers surgical technical mistakes and organ damage.

Author : Juan A. Sanchez,Robert S. D. Higgins
Publisher : Current and Future Development
Page : 216 pages
File Size : 46,9 Mb
Release : 2018-11-30
Category : Medical
ISBN : 168108757X

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The Multi-Organ Donor: A Guide to Selection, Preservation and Procurement by Juan A. Sanchez,Robert S. D. Higgins Pdf

Advances in the science of immunology have improved the success rate of organ transplantations since the mid twentieth century. Organ transplantation is now a lifesaving medical procedure for thousands of patients around the world with end-organ diseases. The lifesaving potential of transplantation has been limited by the number and quality of appropriate organ donors. The evolution of brain death criteria by the Harvard Ad-Hoc Committee Report has opened the door to understanding the importance of medical, legal and ethical challenges of organ donation in support of the growth of the transplant science. The possibility of organ donation from living donors has enhanced organ availability for patients with kidney failure. Modern inotropes and immunosuppression regimens have been critical to the success of other organ transplant procedures. However, the cornerstone of successful transplantation continues to be the appropriate selection, evaluation, preservation of organ tissues and the successful surgical procurement process to mitigate the impact of tissue ischemia and reperfusion. In this textbook, the art and science of organ donation and tissue preservation is examined. Through this authoritative text by leaders in the field, the editors provide a state of the art review of modern preservation techniques, patient selection and screening criteria, as well as best practices for multi-organ procurement. Information presented in the book will familiarize readers with the initial steps of determining organ availability which ultimately enables health care professionals to realize the extraordinary potential of successful multi-organ transplant procedures. This guide is intended to be a fundamental resource for students, residents, faculty and staff for all disciplines allied to health care delivery and organ donation.

Author : John T. Potts,Roger Herdman,Institute of Medicine
Publisher : National Academies Press
Page : 103 pages
File Size : 43,9 Mb
Release : 1998-01-01
Category : Medical
ISBN : 9780309593106

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Non-Heart-Beating Organ Transplantation by John T. Potts,Roger Herdman,Institute of Medicine Pdf

Non-heart-beating donors (individuals whose deaths are determined by cessation of heart and respiratory function rather than loss of whole brain function) could potentially be of major importance in reducing the gap between the demand for and available supply of organs for transplantation. Prompted by questions concerning the medical management of such donors--specifically, whether interventions undertaken to enhance the supply and quality of potentially transplantable organs (i.e. the use of anticoagulants and vasodilators) were in the best interests of the donor patient--the U.S. Department of Health and Human Services asked the Institute of Medicine to examine from scientific and ethical points of view "alternative medical approaches that can be used to maximize the availability of organs from [a] donor [in an end-of-life situation] without violating prevailing ethical norms...." This book examines transplantation supply and demand, historical and modern conceptions of non-heart-beating donors, and organ procurement organizations and transplant program policies, and contains recommendations concerning the principles and ethical issues surrounding the topic.

Author : Robert M. Arnold
Publisher : Unknown
Page : 280 pages
File Size : 40,5 Mb
Release : 1995
Category : Medical
ISBN : UOM:39015031844908

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Procuring Organs for Transplant by Robert M. Arnold Pdf

Author : Arthur L. Caplan,James J. McCartney,Daniel P. Reid
Publisher : Georgetown University Press
Page : 319 pages
File Size : 55,7 Mb
Release : 2015-09-24
Category : Medical
ISBN : 9781626162365

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Replacement Parts by Arthur L. Caplan,James J. McCartney,Daniel P. Reid Pdf

In Replacement Parts, internationally recognized bioethicist Arthur L. Caplan and coeditors James J. McCartney and Daniel P. Reid assemble seminal writings from medicine, philosophy, economics, and religion that address the ethical challenges raised by organ transplantation. Caplan's new lead essay explains the shortfalls of present policies. From there, book sections take an interdisciplinary approach to fundamental issues like the determination of death and the dead donor rule; the divisive case of using anencephalic infants as organ donors; the sale of cadaveric or live organs; possible strategies for increasing the number of available organs, including market solutions and the idea of presumed consent; and questions surrounding transplant tourism and "gaming the system" by using the media to gain access to organs. Timely and balanced, Replacement Parts is a first-of-its-kind collection aimed at surgeons, physicians, nurses, and other professionals involved in this essential lifesaving activity that is often fraught with ethical controversy.

Author : David L. Kaserman,Andy Hubbard Barnett
Publisher : American Enterprise Institute
Page : 204 pages
File Size : 50,7 Mb
Release : 2002
Category : Law
ISBN : 084474171X

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The U.S. Organ Procurement System by David L. Kaserman,Andy Hubbard Barnett Pdf

The proposed system would also save thousands of lives at relatively low costs to both the transplant recipients and insurance companies."--BOOK JACKET.

Author : Institute of Medicine,Committee on Organ Procurement and Transplantation Policy
Publisher : National Academies Press
Page : 255 pages
File Size : 42,7 Mb
Release : 2000-01-09
Category : Medical
ISBN : 9780309065788

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Organ Procurement and Transplantation by Institute of Medicine,Committee on Organ Procurement and Transplantation Policy Pdf

Each day, nearly 60 Americans receive a transplanted kidney, liver, or other organâ€"a literal "second chance at life"â€"but 11 others die waiting for an organ transplant. The number of donors, although rising, is not growing fast enough to meet the increasing demand. Intended to improve the current system of organ procurement and allocation, the "Final Rule," a 1998 regulation issued by the U.S. Department of Health and Human Services, sparked further controversy with its attempts to eliminate the apparent geographic disparities in the time an individual must wait for an organ. This book assesses the potential impact of the Final Rule on organ transplantation. It also presents new, original analyses of data, and assesses medical practices, social and economic observations, and other information on: access to transplantation services for low-income populations and racial and ethnic minority groups; organ donation rates; waiting times for transplantation; patient survival rates and organ failure rates leading to retransplantation; and cost of organ transplantation services.

Author : United States. Task Force on Organ Transplantation
Publisher : Unknown
Page : 256 pages
File Size : 42,9 Mb
Release : 1986
Category : Donation of organs, tissues, etc
ISBN : PURD:32754004375949

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Organ Transplantation by United States. Task Force on Organ Transplantation Pdf

Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Increasing Rates of Organ Donation
Publisher : National Academies Press
Page : 358 pages
File Size : 54,9 Mb
Release : 2006-08-24
Category : Medical
ISBN : 9780309164641

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Organ Donation by Institute of Medicine,Board on Health Sciences Policy,Committee on Increasing Rates of Organ Donation Pdf

Rates of organ donation lag far behind the increasing need. At the start of 2006, more than 90,000 people were waiting to receive a solid organ (kidney, liver, lung, pancreas, heart, or intestine). Organ Donation examines a wide range of proposals to increase organ donation, including policies that presume consent for donation as well as the use of financial incentives such as direct payments, coverage of funeral expenses, and charitable contributions. This book urges federal agencies, nonprofit groups, and others to boost opportunities for people to record their decisions to donate, strengthen efforts to educate the public about the benefits of organ donation, and continue to improve donation systems. Organ Donation also supports initiatives to increase donations from people whose deaths are the result of irreversible cardiac failure. This book emphasizes that all members of society have a stake in an adequate supply of organs for patients in need, because each individual is a potential recipient as well as a potential donor.

Author : Paolo Aseni,Antonino Grande,Luciano De Carlis
Publisher : Springer
Page : 264 pages
File Size : 48,5 Mb
Release : 2016-02-25
Category : Medical
ISBN : 9783319284163

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Multiorgan Procurement for Transplantation by Paolo Aseni,Antonino Grande,Luciano De Carlis Pdf

This well-illustrated handbook provides answers to important questions that may arise during the retrieval of multiple organs for transplantation and offers step-by-step descriptions of current surgical techniques for procurement of the various thoracic and abdominal organs, including heart, lung, liver, intestine, pancreas, and kidney. The coverage includes detailed instruction on liver splitting techniques and on living donor liver hepatectomies and laparoscopic and robot-assisted nephrectomy for transplantation. In addition, guidance is provided on preoperative evaluation for multiorgan donation, contraindications, management for organ retrieval in deceased donors, and organ preservation. The advice offered and the questions addressed will be of relevance not only to transplant surgeons, trainees, and fellows but also to all other professionals involved in organ transplantation, including nursing staff in intensive care units and emergency rooms.

Author : Mark V. Nadel
Publisher : Unknown
Page : 12 pages
File Size : 49,5 Mb
Release : 1993
Category : Donation of organs, tissues, etc
ISBN : STANFORD:36105127375777

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Organ Transplants by Mark V. Nadel Pdf

Author : John T. Potts
Publisher : Theclassics.Us
Page : 40 pages
File Size : 41,6 Mb
Release : 2013-09
Category : Electronic
ISBN : 1230444572

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Non-Heart-Beating Organ Transplantation; Medical and Ethical Issues in Procurement by John T. Potts Pdf

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1997-01 edition. Excerpt: ...freedom within some areas while setting minimum standards in others. In general, the NHBD protocols received and reviewed by the IOM have been written or approved within the last 4 years. The oldest was revised and approved in 1993, and the most recent was approved in July 1997. With respect to OPOs that have approved protocols in place, it is important to bear in mind that organs are procured from very few NHBDs (only one or two) by most OPOs each year. The fact that there are 25 OPOs with approved NHBD protocols and that UNOS reports 65 NHBDs in 1996 provides confirmation of the low rate of procurement of organs from NHBDs by most OPOs. Currently, OPOs located at hospitals tend to procure more organs from NHBDs. Review of the NHBD protocols submitted to the IOM reveals a consensus among OPOs in two areas: (1) discussion of organ donation with families and informed consent should take place only after an independent decision to withdraw life support has been made; and (2) the physician who declares death after withdrawal of support shall not be affiliated in any way with the OPO, procurement team, or transplant team. Outside of these two areas, OPO protocols for NHBDs differ greatly. Some variations are merely procedural whereas others imply ethical differences. The criteria for determining death; medical interventions, including the use of heparin and phentolamine, which are directed toward preparation for transplantation rather than donor patient care; intervention by the OPO to assess and prepare the donor before consent for donation and declaration of death; and the timing, approach, and detail of obtaining family consent--all are problematic issues discussed next in this report. A consensus on these issues, expressed in more...

Author : Robert M. Veatch,Lainie F. Ross
Publisher : Georgetown University Press
Page : 480 pages
File Size : 44,7 Mb
Release : 2015-01-22
Category : Medical
ISBN : 9781626161696

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Transplantation Ethics by Robert M. Veatch,Lainie F. Ross Pdf

Although the history of organ transplant has its roots in ancient Christian mythology, it is only in the past fifty years that body parts from a dead person have successfully been procured and transplanted into a living person. After fourteen years, the three main issues that Robert Veatch first outlined in his seminal study Transplantation Ethics still remain: deciding when human beings are dead; deciding when it is ethical to procure organs; and deciding how to allocate organs, once procured. However, much has changed. Enormous strides have been made in immunosuppression. Alternatives to the donation model are debated much more openly—living donors are used more widely and hand and face transplants have become more common, raising issues of personal identity. In this second edition of Transplantation Ethics, coauthored by Lainie F. Ross, transplant professionals and advocates will find a comprehensive update of this critical work on transplantation policies.