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Related Experiment Videos

Marie-Louise Kirkegaard Mikkelsen1, Camilla Krogh1, Cengiz Akgül2

  • 1Enhed for Evidensbaseret Medicin, Sundhedsstyrelsen.

Ugeskrift for Laeger
|September 29, 2023
PubMed
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Controlled donation after circulatory death (DCD) will be introduced in Denmark to increase organ transplantation. The protocol includes a five-minute no-touch period and specific organ procurement methods, requiring staff training.

Area of Science:

  • Organ transplantation
  • Medical ethics
  • Public health

Background:

  • Donation after circulatory death (DCD) is a strategy used globally to expand the donor pool for organ transplantation.
  • Denmark is implementing a new protocol for controlled DCD in patients with irreversible conditions not meeting brain death criteria.
  • This initiative aims to increase organ availability for critically ill patients awaiting transplants.

Approach:

  • The review outlines a new controlled DCD protocol for Denmark.
  • Key elements include a mandatory five-minute 'no-touch' period after circulatory arrest.
  • Organ procurement strategies like rapid recovery or normothermic regional perfusion are detailed, tailored to specific organs.

Key Points:

  • The protocol defines criteria for patient selection and the 'no-touch' period.

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  • It specifies organ procurement techniques based on transplant needs.
  • Comprehensive training for healthcare professionals is emphasized as crucial for successful implementation.

    • Conclusions:

    • The introduction of controlled DCD in Denmark represents a significant advancement in organ donation practices.
    • Successful implementation hinges on rigorous adherence to the protocol and adequate personnel training.
    • This approach is expected to enhance organ transplantation rates and save more lives.