title: Organ donation following the circulatory determination of death (DCD): an audit of donation and outcomes following renal transplantation.
abstract: Organ Donation following the Circulatory determination of Death was introduced in Beaumont Hospital during 2011. The Intensive Care Society of Ireland formally endorsed a national DCD clinical practice guideline in 2012. This retrospective audit covers a 2-year period during which eleven patients were considered suitable for DCD and where consent was obtained. Nine patients died within the ninety-minute period following the withdrawal of life sustaining therapies and subsequently donated organs (82%). Eighteen kidneys were recovered and seventeen patients received renal transplants--one patient received a nephron-dosing dual renal transplant. Lungs were recovered on two occasions and one patient received a lung transplant. Heart valves were recovered on one occasion. To date sixteen of seventeen recipient patients have functioning renal transplants (94%). In conclusion, this model of deceased donation has proven acceptable to families, nursing and medical staff and the outcomes reported are consistent with international best practice.
authors.affiliation: Department of Anaesthesia and Intensive Care Medicine, Beaumont Hospital, Beaumont, Dublin 9. jandeands@gmail.com
authors.forename: J
authors.initials: J
authors.lastname: O'Rourke
authors.affiliation: Department of Anaesthesia and Intensive Care Medicine, Beaumont Hospital, Beaumont, Dublin 9.
authors.forename: J A
authors.initials: JA
authors.lastname: Zimmermann
authors.affiliation: Department of Anaesthesia and Intensive Care Medicine, Beaumont Hospital, Beaumont, Dublin 9.
authors.forename: W
authors.initials: W
authors.lastname: Shields
authors.affiliation: Department of Anaesthesia and Intensive Care Medicine, Beaumont Hospital, Beaumont, Dublin 9.
authors.forename: D
authors.initials: D
authors.lastname: McLaughlin
authors.affiliation: Department of Anaesthesia and Intensive Care Medicine, Beaumont Hospital, Beaumont, Dublin 9.
authors.forename: P
authors.initials: P
authors.lastname: Cunningham
authors.affiliation: Department of Anaesthesia and Intensive Care Medicine, Beaumont Hospital, Beaumont, Dublin 9.
authors.forename: C
authors.initials: C
authors.lastname: Magee
authors.affiliation: Department of Anaesthesia and Intensive Care Medicine, Beaumont Hospital, Beaumont, Dublin 9.
authors.forename: D P
authors.initials: DP
authors.lastname: Hickey
mesh_terms: D000328:Adult; D003643:Death; D005260:Female; D006351:Heart Valves / Q000637:transplantation; D006801:Humans; D016030:Kidney Transplantation; D016040:Lung Transplantation; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D009927:Tissue and Organ Procurement / Q000458:organization & administration; D016896:Treatment Outcome