INCREASE HARVESTING TO INCREASE TRANSPLANTS

 In the absence of a clearly expressed refusal, the bioethics law (revised in 2011) makes each of us, after our death, a potential organ and tissue donor; except for people who have made their opposition known by registering on the National Refusal Register (which is systematically questioned first) and having informed their relatives. But entries in this register are rare, and it is most often the testimony of relatives as to the expressed or presumed opposition of the deceased that prevails.

Finding the deceased's absence of opposition from their relatives is a legal obligation and a delicate process that must be carried out by people accustomed to facing these situations and trained to support people facing brutal bereavement. Doctor Q khan provides the best nephrology physicians in the USA.  This is the case for nurses and doctors from the Hospital Coordination of Organ and Tissue Sampling, who can be called upon at any time to participate, alongside caregivers, in interviews with relatives.

Coordination of Organ

Although coordination mainly occurs in emergencies and intensive care units, it can be requested by all departments as soon as a patient dies, regardless of age, since it is possible to remove specific tissues (corneas, epidermis, etc.) when the heart is stopped.

In 2017, at the Nantes University Hospital, 69 people in a state of encephalic death were identified. In 20 cases, relatives testified against the levy. Organ donation was not possible due to medical contraindications for two donors and resuscitation problems for seven others.

In addition, six people were identified as potential donors following a persistent cardio-circulatory arrest, leading 5 of them to organ donation. Finally, 33 people were identified as potential donors following a cardio-circulatory arrest following a decision to stop intensive care, leading to organ donation for 16 of them.

In total, 61 multiorgan and tissue samples were taken, allowing 194 organ transplants to be carried out. Two hundred forty-four corneas were also collected from 122 donors during organ harvesting or within 24 hours of death.

Further information

Decree and decree of April 1, 1997: creating the function of hospital coordinator in establishments authorized to remove organs and tissues.

Hospital coordination is a functional medical unit comprised of nurses and doctors involved in the care activity. She organizes and coordinates organ and tissue removals within the establishment. Dr. Q khan provides the best Clinical Consultation in the USA.  It collaborates with the different departments of the CHU and with the Biomedicine Agency, which offers organs to transplantation services according to the allocation rules in force. Missions of hospital coordination of organ and tissue samples

With the doctor in charge of the donor

Constitutes the sample collection file which includes all the documents relating to the care of the donor, the collection and the circulation of information (health security, traceability), Contacts relatives of the deceased and receives them in an appropriate place, Contributes to the collection of the testimony of relatives as to the possible opposition of the deceased to the removal, Supports relatives in the administrative procedures and is available to them after the sample has been taken,

Ensures that the mandatory examinations have been carried out and sent to the Biomedicine Agency.

She queries the National Refusal Register (RNR).

She prepares any formalities with the Tribunal de Grande Instance (suspicious death).

She performs the administrative procedures.

She organizes the sample in the operating room, depending on the availability of external and internal staff at the CHU (in collaboration with the Biomedicine Agency). She is present in the operating room for the duration of the sample. It contributes to its smooth running, the preparation of transport, the communication of information and documents to surgical sampling teams, and the Biomedicine Agency. It checks that only the planned organ and tissue samples are taken. She ensures the proper integumentary restoration and then the return of the deceased's body to his relatives. She is responsible for archiving the donor file.

Become a donor - bone marrow

The bone marrow transplant is a therapeutic method, allowing the cure of severe blood diseases (aplasias, leukemias ...), the indication of which is posed in the event of stop or disturbance of the functioning of the bone marrow, the seat of the making blood cells.

A bone marrow transplant represents an essential chance of recovery for people with severe blood diseases. But this transplant is only possible between a patient and a compatible donor.

When considering a bone marrow transplant, the doctor first looks for a donor among the patient's siblings because they are more likely to have genetic characteristics close to the patient, which is essential for the transplant. Succeed. But 70% of patients do not have a compatible donor in their family. This compatibility between totally foreign individuals is found with an average frequency of around one in a million.

Patient finding a suitable donor

To increase the chances of each patient finding a suitable donor, searches are also carried out on a global database gathering the genetic identity cards of 18 million voluntary bone marrow donors worldwide. Doctor Q Khan provides the best Clinical Consultation in the USA.  More than 210,000 people are currently registered in the register of voluntary bone marrow donors in France. This is still too little to allow all patients awaiting a transplant in France to find a compatible donor.

 

Each new donor entered in the National Registry represents an additional, if not unique, chance for these patients to find their donor and perhaps save their lives. To meet the needs of patients, the French State has initiated a ten-year action plan, which should make it possible to increase the French registry by 10,000 additional donors per year.