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Organ donation: Difference between revisions
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'''Organ donation''' or '''organ transplantation''' refers to removing an organ from a donor to another person who needs the organ. An organ may be donated from a live (living) donor, if the organ transplantation can be performed without permanently harming the donor too much, or it may be donated rom a [[Brain death|brain dead]] donor. | <section begin="A&IC" />'''Organ donation''' or '''organ transplantation''' refers to removing an organ from a donor to another person who needs the organ. An organ may be donated from a live (living) donor, if the organ transplantation can be performed without permanently harming the donor too much, or it may be donated rom a [[Brain death|brain dead]] donor. | ||
Donor conditioning (donorkondícionálás) is a Hungarian term which you won’t find in international texts. I believe it refers to the period from the diagnosis of brain death to the removal of the organs, during which the eligibility of organ donation is determined. Its goal is to donate as many organs as possible in the shortest possible time, of the best quality. ''The term is not mentioned in the English nor the Hungarian lecture, so it’s hard to know what they mean by it and what they expect us to know.'' | Donor conditioning (donorkondícionálás) is a Hungarian term which you won’t find in international texts. I believe it refers to the period from the diagnosis of brain death to the removal of the organs, during which the eligibility of organ donation is determined. Its goal is to donate as many organs as possible in the shortest possible time, of the best quality. ''The term is not mentioned in the English nor the Hungarian lecture, so it’s hard to know what they mean by it and what they expect us to know.'' | ||
Recognition of potential dead organ donors should begin before [[brain death]] is diagnosed. | Recognition of potential dead organ donors should begin before [[brain death]] is diagnosed. Hungary is part of Eurotransplant, an organization which organizes the allocation of donor organs in central/Eastern EU. | ||
The most common forms of organ transplantation are: | The most common forms of organ transplantation are: | ||
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* [[Pancreas transplantation]] | * [[Pancreas transplantation]] | ||
== | == Consent == | ||
In Hungary, the consent for organ donation is presumed, meaning that all persons are organ donors unless they have opted out of it during life. This is not the case for all countries, for example USA, Germany, and Norway rather have opt-in systems. | In Hungary, the consent for organ donation is presumed, meaning that all persons are organ donors unless they have opted out of it during life. This is not the case for all countries, for example USA, Germany, and Norway rather have opt-in systems. | ||
== Procedure == | == Procedure == | ||
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Cold ischaemic time (CIT) refers to the time when the organ has perfusion and cold storage. The ideal CIT for kidney is < 18 hours, but up to 36 hours is acceptable. For other solid organ transplants, these numbers are lower. | Cold ischaemic time (CIT) refers to the time when the organ has perfusion and cold storage. The ideal CIT for kidney is < 18 hours, but up to 36 hours is acceptable. For other solid organ transplants, these numbers are lower. | ||
Warm ischaemic time (WIT) refers to the time the organ has no circulation, no perfusion, and no cold storage. In ideal cases, the WIT is zero. A kidney may function up to 60 minutes of WIT, but the risk for delayed graft function or event completely non-functional kidney transplant increases after 20 minutes. | Warm ischaemic time (WIT) refers to the time the organ has no circulation, no perfusion, and no cold storage. In ideal cases, the WIT is zero. A kidney may function up to 60 minutes of WIT, but the risk for delayed graft function or event completely non-functional kidney transplant increases after 20 minutes.<section end="A&IC" /> | ||
<noinclude> | <noinclude>[[Category:Intensive care]][[Category:Transplant surgery]] | ||
[[Category:Transplant surgery]] | |||
</noinclude> | </noinclude> | ||