MOTO Promoting Organ Donation Dr. Kamaxi Bhate, KEM Hospital Mumbai

MCGMS ORGAN TRANSPLANT

ORGANISATION

MOTO

THIS IS YOUNG BANK EMPLOYEE

BOTH KIDNEYS FAILED !

He can not survive

without dialysis every

week .

He comes for dialysis

just before going for

work.

This man needs

Kidney!

Patient with liver failure

No medicines will

work for him.

After liver Transplant

Skin

transplant

IN CASE OF BURNS THERE ARE BIG WOUNDS

SKIN IS REQUIRED FOR SURVIVAL

Big wound Healed wound

Healed

wound

DO YOU KNOW THIS ?

More than ten

million Indians

are blind, out of

that 1/4 th are

Corneal Blind.

Of these Corneal

Blind. 60% are

children below

twelve years of

age!!

After natural Death

Living Person for once own

relatives or for others

After Brain Stem Death

HOW DOES ORGAN DONATION

TAKE PLACE ?

Eyes Skin

Fascia Bones Ligaments Cartilages Blood Vestals ( Veins and Arteries ) Middle ear Bones

Organ donation is possible

Even in case of death at Home

Which Organs can be donated

after death

Mainly Donated In Our Country

Blood

Kidney

Piece of Liver

Piece of Pancreas

Bone Marrow

-

THE ORGANS THAT CAN BE

DONATED BY A LIVING PERSON

Bone

Marrow

2Eyes

2 Kidneys

1 Liver

1 Pancreas

2 Lungs

1 Small Intestine

1 Vocal Cord

2 Hands

2 Middle ear bones

Entire Skin

All Fascia

All Bones

Cartilages

Tendons

Blood Vessels (Veins

and arteries )

Heart Volvos

Nerves

20 Toes and Fingers

WHICH ORGANS CAN BE DONATED

AFTER BRAIN STEM DEATH.

Brain Stem Death is diagnosed in ICU patients only

Maximum Organ Donation is Possible after Brain Stem Death

a. Blood - Living for relatives and for others

b. Kidney - Living person for relatives or

others

c. Eyes - Only After Death

d. Skin - Only After Death

TYPES OF ORGAN DONATION IN INDIA

What Is Eye Donation?

Who can do Eye donation?

Who needs eye donation ?

Responsibilities of the Health workers

and/or relatives after the death of persons

who want to go for Eye donation

DO YOU KNOW THESE ASPECTS

OF EYE DONATION

Eye donation can be done only after death

ANATOMY OF THE EYE BALL , BLINDNESS

AND WHO IS BENEFITED BY EYE DONATION

Transparent covering

of the eye ball

(Cornea)

Lance in the eye ball.

Transparent covering of the eye ball (Cornea)

Transparent covering of the

eye ball (Cornea) has

become opaque = Blindness

35 Million people go corneal blind in developing countries .

Corneal donation helps.

Cornea

Conjunctiva

In India 3 million people go

Corneal blind

60% of blind people are

children below 12 years.

These children can get eye sight with corneal

transplant, retrieved from eye donation

Do you know, only 1.5 lakh corneas are donated per year in India !!!

NEED FOR EYE DONATION IN INDIA

OPAQUE CORNIA

REMOVED

TRANSPERANT DEAD

DONER CORNIA

IMPLANTED

Inform the near by Eye Bank telephonically .

Off the Fan and Keep AC on

Raise the head end of the dead body

Close the eye lids of the dead body and keep wet saline swabs on the eyes

To prevent any infection keep on putting antibiotic eye drops every now and then

It takes 20-25 mts to complete the processes of enucleating of the eye ball

Within 96 hours the process of corneal transplant should be complete

After the death of person wanting to donate eyes the process of eye donation should complete in six hours time

-

AFTER YOU HAVE USED THEM WILL

YOU KINDLY GIVE THEM TO US

At what ever age even if having spectacles, or after

cataract operation, person can do eye donation

Let Us Give them After We have used them to

Fullest!

There are 125 Million people in India There are more than 6 thousand deaths per day If 100 % people donate eyes after death ...........

In only 11 days all coronial blinds in India will get

eye sight!

Even if only 5% people donate eyes in India corneal

Blindness can be overcome in 220 days!!

Let Us All Take Oath of Eye Donation after Death!

EYES ARE PRICELESS DONT BURN THEM AFTER DEATH

LET US PLEDGE OUR EYES TODAY !

Skin of the dead person is the preferred option for a patient with the most severe

burns for patient to recover in shorter

duration.

As 80 % of burn victims are women and children. India 100% mortality is observed in

patients having more than 60% burns ...

Skin from the dead body is life saving

WHY SKIN DONATION?

Cadaver skin still is the No. 1 substitute, after death of a

person cadaver skin is

removed in 2 24 hours.

Commonest sights from where the skin is taken

Additional sights from where the cadaver skin is

taken

HOW IS CADAVER

SKIN DONATION DONE

Skin donation should be over in two hours,

but till 12-24 hours skin can be taking

Retrieved skin is rolled through a Meshing Machine, it creates a pattern of small holes, like the

fishnet stockings.

WHAT IS DONE TO THE SKIN

RETRIEVED FROM THE CADAVER

This skin is taken to the skin bank, trimmed

into bandage-like strips,

cryogenically preserved.

Cadaver skin can be

stored in a freezer at 4-8

C for up to five years in

85% Glyserol

CADAVER SKIN IS LIFE SAVING

The donated skin can be used as a temporary dressing

for severe burns.

Helps prevent infection, reduce pain and maintain

body temperature, prevent loss

of proteins.

CADAVER SKIN GRAFTS HELP

HEALING BIGGER WOUNDS FASTER

Around 1,50,000 new

Cases of Kidney Failure

in India every year

Around 5000 receive

Kidney transplant.

Around 5 million affected

with liver disease / year

Around 1000 receive

Liver transplant.

These organs can be

retrieved only from

Brain Dead Donor

LIVER DISEASE BURDEN

AND TRANSPLANTATION

LIVER TRANSPLANT

Transplanted peace of Liver

MIRACLE OF ORGAN DONATION

FROM BRIAN STEM DEAD

Brain Stem death is a new concept while the heart is working , breathing has stopped for ever !!

In 1968 the concept of brain stem death was

accepted , Harvard University accepted and US

law of human organ donation was passed.

In India brain stem death was accepted by 1994

it was Human Organ Transplant Act (HOTA) This

law was amended in 2011

There is no age limit for Organ donation There is no money exchange !

Is there any law about human organ donation, and brain dead ?

WHAT IS BRAINSTEM DEATH

Cerebrum

Cerebellum

Respiratory Centres are Situated in Brain Stem . Movement of eyes and pain centres are situated in Brain stem.

Breathing, eye movement and pain sensation

stops forever after Brain Stem Death but the Heart is beating

CAUSES OF BRAIN STEM DEATH

Tumour in

the brain

Trauma Bleeding in the brain

Brain Haemorrhage

Blood supply is

blocked

Once there is brain stem death patient called Cadaver

As this situation is such where brain has stopped working completely but the Heart is Beating , all organs are getting blood supply . To continue supply of Oxygen to the organs, so that they survive longer the cadaver is put on Respirator .

Cadaver is

put on

Respirator AFTER BRAIN STEM DEATH

Every day 6000 people die in India for not getting organs, that means death every fifteen minutes one death.

Every eleven minutes one more organ failure is added to list.

Five lakh people die every year for not getting organs

This is Because cadaver transplants are not done !

Cadaver organs are wasted!!

HOW IS CADAVER TRANSPLANT

SITUATION IN INDIA

Brain Stem Death is not

COMA

BRAIN STEM DEATH

Brain Has stopped working completely

Respiration has completely stopped, only heart is working

and the body organs are getting

blood supply.

Movements have stopped, there is no movement even on

stimulation, this is a permanent

state

Body is maintained only on machines.

COMA BRAIN HAS NOT STOPPED

WORKING

RESPIRATION CONTINUES

THERE IS BODY MOVEMENT EYE MOVEMENT , THERE IS

RESPONSE TO STIMULATION.

IT IS A TEMPORARY STATE

PATIENT CAN GET-WELL AND GO HOME .

DIFFERENCE BETWEEN BRAIN

STEM DEATH AND COMA

State of Cadaver organ donation is pathetic in our country

POSITION OF ORGAN TRANSPLANT IN

THE WEST

1985 1986 1987 1988 1990 1991 19920

5000

10000

15000

20000

25000

Kidneys - Cadaver

kidneys - Living

Liver

Heart

SITUATION OF ORGAN DONATION IN

INDIA

In India only fifty Cadaver Transplant Take place

NUMBER OF CADAVERIC DONORS PER MILLION POPULATION

24.25

21.7

21.65

21.5

20

18.1

13.15

12.96

12.18

10.62

6.1

4.3

2.7

0.75

0.12

0.05

33.68

0 5 10 15 20 25 30 35

Spain

Austria

Portugal

Beligium

USA

France

Italy

Canada

United Kingdom

Germany

Australia

HK

Singapore

Taiwan

Korea

Philippines

Japan

Rate of cadaveric donations in India

is

How many Brain Stem deaths are there in our country ?

In any big Hospital of a city there are around 20-22 accident cases per day, and five percent cases are

of Brain stem deaths

There are few experts who could diagnose Brain stem deaths

There is no awareness about organ donation in the society.

It is important to create social awareness

About Organ donation !!

CAN WE IMPROVE THE SITUATION OF CADAVER TRANSPLANT IN OUR COUNTRY

Accident Cases

coming to the

Hospital

Out of them 10% Die

5% are Brain

Death

Donor

In India Accident

rate and Brain

Stem Deaths are

in large number

and still organ

donation is very

low.

WHY ?

There is no

awareness

It is necessary to

create

awareness

Accident cases

coming to Hospital

Cases in ICU

COMA

ICU

BRAIN DEAD

WARDS Special

Care

Ward

Giving Information of BD of OD to Family

COUNSELLING for importance - OD

Giving Necessary Help to the family

ICU BRAIN DEAD

Team Of doctors Give Final Report

BD & Certificate

ICU

BRAIN DEAD

IEC Team &

Counseling Team

with Family

BRAIN STEM DEATH

IDENTIFICATION TEAM

BD Certifying

Team

Maintenance of

the cadaver in

ICU

Retrieval Group

& transplant Group

Treatment

Team of

Recipient

S

DR. KAMAXI PRATAPSINH BHATE

MR. SUDHEENDRA M. KULKARNI 56 YEARS

215 D2 KARMAKHETRA SION KOLIWADA ,

MUMBAI 37 INDIA

1ST MAY 2012

GOVERNMENT CONTROL

ZTCC

Maintains list of hospitals registered for organs retrieval and transplantation.

Maintains waiting list of patients who are desirous for organs.

carries fair distribution of organs based on waiting list.

waiting list is prepared on the basis of- -Age

-Severity of disease

-Prognosis/expected survival after transplant

Organ

Retrieving

Hospitals

Organs

Transplanting

hospitals

Multi-organs

transplant

centres

Government control (As per HOTA act-1994)

ZTCC

No hospital can transplant organ without prior information or permission of ZTCC.

Working from

2000, in Mumbai

1. In Mumbai 29 hospitals are registered under ZTCC

2. Today's date there are 55000 waiting for OD.

3. At every 16 minutes, new one is added to the list.

4. 10 die daily from the list without the organ.

5. Tamilnadu is the leading state in India in OD.

6. New concept of SWAP donation is also

emerging out

7 HLA matching is mandatory for all OD except

Cornea, skin, bones.

SOME FACTS ABOUT ZTCC AND

ORGAN DONATION-

In Maharashtra, First tissue bank was started in Tata memorial hospital Mumbai

Rates of OD-

India- 0.16/million

population

USA 22/million

population

Spain- 36/million

population

Even If a person has not pledged, relatives can take the decision to donate eyes/ skin

After Brain Stem death Close -Relatives can take the decision to donate Organs

Spouse

Son - Daughter

Brother Sister

Any other

YOU MUST KNOW THIS

Diabetic

Hypertension

Person suffering from any other chronic diseases can do organ donation

CAN ILL PERSON DO ORGAN

DONATION

Person who dies of

Rabies

HIV / AIDS

Septicaemia

Downing

Cancer

Can not do organ donation

WHO WILL NOT BE ABLE TO DO ORGAN DONATION

VERY POWERFUL AND INTELLIGENT KING

Had lot of palaces, Jewels ....... , Wanted all that to be managed well after his death.

DECIDED TO MAKE A WILL

Kings Will

KINGS WILL

Kings Will

KINGS WILL

Kings Will

What Lord Shiva could not have done

himself , the organ donor could do !!