1. ORGAN DONATION
DR.R. RAJKUMAR M.D., D.M.
CONSULTANT MEDICAL
ONCOLOGIST
MADURAI MEDICAL COLLEGE
&
GOVT RAJAJI HOSPITAL

2. INSTRUCTIONS
This is our request to all of you that
1. Your mental presence is very much
required
2. Please put your mobile off.
3. No conversation during the
presentation.
4. Your questions will be answered
after the presentation.

12. ORGAN DONATION
What is Organ donation
Organ donation is the process
of removing tissues or organs
from a live, or recently dead,
person to be used in another.
The former is the donor and the
latter is the recipient.
People of all ages can become
donors.

13. ORGAN DONATION
Type of donors
Some organs can be donated
by a living person
Almost all organs can be
donated by someone dead but
this has to reach the recipient
within a few hours after the
donor's death.
In case of live donation the
donor should give his consent .
In case of cadaver donation,
relatives need to provide
consent.

14. ORGAN DONATION
Voluntary Donation
Almost everywhere organ
donation is voluntary
Two voluntary systems include
1.Opt In - Where the donor
gives consent
2.Opt Out - Where anyone who
has not refused is considered
as a donor
In India we have the Opt in
system, while many western
countries practice the opt out
system

15. ORGAN DONATION
Organs for Donation
Some of the organs that are
commonly donated -
• Eyes (cornea)
• Heart
• Lungs
• Liver
• Pancreas
• Kidneys
• Skin

16. ORGAN DONATION
Organ shortage - reasons
Family consent, and negative
attitude contribute towards
organ shortage.
This could be due to the
following reasons -
• Religion
• Fear, ignorance and
misunderstanding
• Legal aspects
• Media reports on scandals
involving organ rackets

17. ORGAN DONATION
Improving Organ Donation
Currently organ donation can
be termed as a "crisis with a
cure." The following are some
ways to improve organ
donation-
• Improved patient care to facilitate
easier approach for organ
donation, in case of patient death
• Trained transplant co-ordinators
and grief counsellors
• Improved hospital infrastructure
• Qualified Intensivists and
Surgeons

18. ORGAN DONATION
Improving Organ Donation
Currently organ donation can be
termed as a "crisis with a cure."
The following are some ways to
improve organ donation-
• Increased HLA typing and cross
matching facilities
• Improved facilities in
packing,transport and retrieval of
organs
• Supporting organization for
networking and registry
maintenance
• Effective use of technology to
facilitate organ donation

19. ORGAN DONATION
Role of society
Society plays a crucial role in
transplant programme especially
in case of cadaver transplants.
There is a urgent need for
increased public awareness
regarding organ donation and
greater effort must be taken to
dispel public concerns regarding
the same.
Organ donation can give a new
twist to tragedy.
Remember "organs wasted are
lives lost".

20. ORGAN DONATION
A GIFT OF LIFE

21. The Organ Shortage
• Each day, about 60 people around the
world receive an organ transplant,
while another 13 die due to non-
availability of organs.
• Organ shortage — the main limitation
to saving lives of critically ill patients
— is due to individuals and their
families not considering organ
donation out of fear, ignorance or
misunderstanding.

22. HISTORICAL ASPECTS – CADAVER
TRANSPLANTATION - INDIA
1967 - First succeesful cadaver Kidney
Transplant in India at KEM Hospital,
Bombay
1994 - First successful heart transplant
done at AIIMS, N.Delhi
1995 - First successful multi-organ
transplant done at Apollo Hospital,
Chennai
1998 – First Successful Lung transplant,
Madras Medical Mission Hospital,
Chennai
1999 – First Pancreas Transplant,
Ahembdabad

23. THE TRANSPLANTATION OF
HUMAN ORGANS ACT, 1994
Legalised Brain Death and removal of
organs for therapeutic purposes.
Banned commercial trading of organs from
living unrelated donors.

24. TYPES OF DONORS
Living Donors
Cadaver Donors

25. TYPES OF DEATH
Brain Death
Cardiac Death

26. Lethal Head Injury
Brain Hemorrhage
Brain death is
Irreversible Loss of Consciousness
Absence of Respiration
Flat EEG
Loss of Brain Stem Reflexes

28. Potential of Cadaver Organs per
year from Accident Victims in
Mumbai
0
100
200
300
400
500
600
Accident
Deaths
Brain
Deaths
Kidneys Other
Organs
(Each)
• Accident Deaths
• Brain Deaths
• Kidneys
• Other Organs
(Each)
600
150
300
100

29. How Can We Increase The
Donors ?
Spreading awareness about Cadaver Organ Donation
by initiating One to One and / or Group talks with ..
• Schools
• Colleges
• Social Organisations like LIONS, ROTARY, Etc.
• Hospital Staff

30. ALL RELIGIONS SUPPORT
ORGAN DONATION

31. RELIGION AND ORGAN
DONATION
Common thread that binds all religions of the world
–
– Saving of life overrides all objections
– There is no religions that is against organ
donation
– What holds back is cultural reservations,
• Ignorance of the process of organ donation,
• Fear of mutilation,
• Lack of emotional support at time of tragedy,
• Fear that organs will be sold or used only by
the rich
• Mistrust of hospitals and health professionals
• Myths.

32. ADVANTAGES OF CADAVER
ORGAN DONOR
TRANSPLANT
Offers Hope when Living Related Donor Not Suitable.
Recipient avoids psycho-social burden of living
Donor.
Only chance of Life for Heart, Lungs, Liver, etc
Patients.
Donor Families find Meaning in their Loss.

33. How Does One Become
A Donor ?

34. Share Your Life…
Share Your Decision…
…Sign a Donor Card