PMID- 8996760
OWN - NLM
STAT- MEDLINE
DCOM- 19970320
LR  - 20041117
IS  - 0902-0063 (Print)
IS  - 0902-0063 (Linking)
VI  - 10
IP  - 6 Pt 2
DP  - 1996 Dec
TI  - A new approach for increasing the organ supply.
PG  - 653-7
AB  - The donation of organs and tissues for the benefit of another person is an 
      altruistic act and one that is a guaranteed option for the next-of-kin through 
      various national Required Request legislations. At the Washington Hospital Center 
      we have developed an approach that permits organ recovery from non-heart beating 
      donors. The focus is on victims of fatal trauma and assures that each family is 
      empowered with the right to make a donation decision. In October 1993 a consensus 
      conference was held on implementing a program to recover organs from fatal trauma 
      victims. The participants recommended that safeguards be incorporated to assure 
      ethical treatment of both the trauma victim and the next-of-kin. An Office of 
      Decedent Affairs (ODA) was then established and implemented in September 1994. 
      The ODA is staffed by Family Advocates who are on duty continuously and respond 
      to all trauma and death events. Their mission is to consolidate all death events, 
      provide support to decedent families, assure that required request mandates are 
      fulfilled, interact with the local Organ Procurement Organization (OPO) in the 
      consent process, and facilitate the implementation of the Rapid Organ Recovery 
      Program (RORP). The RORP consists of two specific procedures: cannulation of the 
      femoral arterial-venous system for flushing the kidneys with a preservative 
      solution, and intubation of the peritoneum for in situ cooling using an 
      ice/lavage process. In the 1-yr period since the ODA was established, organ and 
      tissue donation has increased by more than 300%.
FAU - Kowalski, A E
AU  - Kowalski AE
AD  - Washington Hospital Center, Medlantic Research Institute, DC 20010, USA.
FAU - Light, J A
AU  - Light JA
FAU - Ritchie, W O
AU  - Ritchie WO
FAU - Sasaki, T M
AU  - Sasaki TM
FAU - Callender, C O
AU  - Callender CO
FAU - Gage, F
AU  - Gage F
LA  - eng
PT  - Journal Article
PL  - Denmark
TA  - Clin Transplant
JT  - Clinical transplantation
JID - 8710240
SB  - IM
MH  - Decision Making
MH  - District of Columbia
MH  - Ethics, Medical
MH  - Hospital Departments/*organization & administration
MH  - Humans
MH  - Informed Consent
MH  - Laboratories, Hospital
MH  - Medical Audit
MH  - Multiple Trauma/mortality
MH  - Patient Advocacy
MH  - *Professional-Family Relations
MH  - Program Development
MH  - Social Support
MH  - *Tissue Donors
MH  - Tissue and Organ Procurement/methods/*organization & administration
EDAT- 1996/12/01 00:00
MHDA- 1996/12/01 00:01
CRDT- 1996/12/01 00:00
PHST- 1996/12/01 00:00 [pubmed]
PHST- 1996/12/01 00:01 [medline]
PHST- 1996/12/01 00:00 [entrez]
PST - ppublish
SO  - Clin Transplant. 1996 Dec;10(6 Pt 2):653-7.