title: Organ retrieval and banking in brain dead trauma patients: Our experience at level-1 trauma centre and current views.
abstract: BACKGROUND
  Organ retrieval from brain dead patients is getting an increased attention as the waiting list for organ recipients far exceeds the organ donor pool. In our country, despite a large population the number of brain dead donors undergoing organ donation is very less (2% in our study).
  
  
  OBJECTIVE
  The present study was undertaken to address issues related to organ donation and share our experience for the same.
  
  
  METHODS
  A retrospective case record analysis of over 5 years from September 2007 to August 2012 was performed and the patients fulfilling brain death criterion as per Transplantation of Human Organs and Tissue (Amendment) Act were included. Patient demographics (age, sex), mode of injury, time from injury to the diagnosis of brain death, time from diagnosis of brain death to organ retrieval and complications were analysed.
  
  
  METHODS
  Student's t test was used for parametric data and Chi square was used for categorical data.
  
  
  RESULTS
  Out of 205 patients who were identified as brain dead, only 10 patients became potential organ donors.
  
  
  CONCLUSIONS
  Aggressive donor management, increasing public awareness about the concept of organ donation, good communication between clinician and the family members and a well-trained team of transplant coordinators can help in improving the number of organ donations.
authors: Department of Anaesthesia and Critical Care, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
authors: Chhavi
authors: C
authors: Sawhney
authors: Manpreet
authors: M
authors: Kaur
authors: Sanjeev
authors: S
authors: Lalwani
authors: Babita
authors: B
authors: Gupta
authors: Ira
authors: I
authors: Balakrishnan
authors: Aarti
authors: A
authors: Vij
keywords: Brain dead; organ retrieval; organ retrieval and banking organisation; relaxants; transplantation
references: Anesth Analg. 2004 Feb;98(2):461-468
references: 14742388
references: J Heart Lung Transplant. 2004 Sep;23(9 Suppl):S217-22
references: 15381167
references: Am J Med Sci. 1997 Sep;314(3):153-63
references: 9298041
references: J Trauma. 2005 May;58(5):991-4
references: 15920414
references: Transplantation. 2003 Jun 27;75(12):1928-33
references: 12829889
references: Crit Care Med. 1987 Jan;15(1):44-6
references: 2431834
references: Transplantation. 1992 Nov;54(5):851-7
references: 1332223
references: Am J Transplant. 2005 Apr;5(4 Pt 1):684-93
references: 15760391
references: J Thorac Cardiovasc Surg. 1995 Jun;109(6):1075-9; discussion 1079-80
references: 7776671
references: Transplant Proc. 2002 Sep;34(6):2359-60
references: 12270436
references: Crit Care Med. 1996 Sep;24(9):1599-601
references: 8797636
references: Transplant Proc. 1996 Oct;28(5):2895
references: 8908114
references: Hepatology. 1994 Sep;20(3):565-73
references: 8076915
references: Arch Dis Child. 1990 Aug;65(8):896-7
references: 2400231
references: JAMA. 2003 Oct 15;290(15):2041-7
references: 14559958
references: Lancet. 2010 Oct 16;376(9749):1347-53
references: 20934213
references: N Engl J Med. 2001 Nov 8;345(19):1359-67
references: 11794168
references: Transplantation. 1994 Aug 27;58(4):414-8
references: 8073509
references: Am J Transplant. 2003;3 Suppl 4:29-40
references: 12694048
references: J Heart Lung Transplant. 1995 Jul-Aug;14(4):734-42
references: 7578183
references: J Thorac Cardiovasc Surg. 1995 Jun;109(6):1081-8; discussion 1088-9
references: 7776672
references: Transplantation. 2005 Nov 27;80(10):1363-8
references: 16340775
references: Crit Care Med. 2003 Apr;31(4):1113-7
references: 12682481
references: Intensive Care Med. 2002 Aug;28(8):1012-23
references: 12185419
references: Circulation. 2002 Aug 13;106(7):836-41
references: 12176957
references: Transplantation. 1998 Jun 27;65(12):1533-42
references: 9665067
references: Prog Transplant. 2003 Mar;13(1):9-14; quiz 15-6
references: 12688643
references: Am J Respir Crit Care Med. 1999 Jul;160(1):265-71
references: 10390410
references: Acta Anaesthesiol Scand. 2009 Nov;53(10):1239-50
references: 19681785
references: Anaesthesia. 2000 Feb;55(2):105-6
references: 10651668
references: Liver Transpl Surg. 1999 Sep;5(5):421-8
references: 10477844
references: Eur J Cardiothorac Surg. 2001 Jul;20(1):170-6
references: 11423292
references: JAMA. 1994 Nov 2;272(17):1354-7
references: 7933396
references: Transpl Int. 2005 Jan;18(1):15-21
references: 15612978
references: Transpl Int. 2000;13 Suppl 1:S282-5
references: 11112013
references: J Heart Lung Transplant. 1994 May-Jun;13(3):353-64; discussion 364-5
references: 8061010
references: Transplantation. 1989 May;47(5):828-34
references: 2718243