Recommendations for Evaluation and Selection of Deceased Organ Donor: Position Statement of ISCCM

Kapil G Zirpe; Anand M Tiwari; Rahul A Pandit; Deepak Govil; Rajesh C Mishra; Srinivas Samavedam; Palepu B Gopal; Atul P Kulkarni; Subramanian Swaminathan; Subhal B Dixit; Arindam Kar; Rajesh K Pande; Dhruva Chaudhry

doi:10.5005/jp-journals-10071-24190

Recommendations for Evaluation and Selection of Deceased Organ Donor: Position Statement of ISCCM

Indian J Crit Care Med. 2022 Oct;26(Suppl 2):S43-S50. doi: 10.5005/jp-journals-10071-24190.

Authors

Affiliations

¹ Department of Neuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.
² Department of Neuro Trauma Unit, Ruby Hall Clinic, Pune, Maharashtra, India.
³ Department of Critical Care Medicine, Fortis Hospital, Mumbai, Maharashtra, India.
⁴ Institute of Critical Care and Anesthesia, Medanta - The Medicity, Gurugram, Haryana, India.
⁵ Department of MICU, Shaibya Comprehensive Care Clinic, Ahmedabad, Gujarat, India.
⁶ Department of Critical Care, Virinchi Hospital, Hyderabad, Telangana, India.
⁷ Hyderabad, Telangana, India.
⁸ Division of Critical Care Medicine, Department of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India.
⁹ Department of Infectious Diseases, Gleneagles Global Hospital, Chennai, Tamil Nadu, India.
¹⁰ Department of Critical Care, Sanjeevan and MJM Hospital, Pune, Maharashtra, India.
¹¹ Calcutta Medical Research Institute, Kolkata, West Bengal, India.
¹² Department of Critical Care, BLK Superspeciality Hospital, New Delhi, India.
¹³ Department of Pulmonary and Critical Care Medicine, University of Health Sciences, Rohtak, Haryana, India.

Abstract

There is a wide gap between patients who need transplants and the organs that are available in India. Extending the standard donation criterion is certainly important to address the scarcity of organs for transplantation. Intensivists play a major role in the success of deceased donor organ transplants. Recommendations for deceased donor organ evaluation are not discussed in most intensive care guidelines. The purpose of this position statement is to establish current evidence-based recommendations for multiprofessional critical care staff in the evaluation, assessment, and selection of potential organ donors. These recommendations will give "real-world" criteria that are acceptable in the Indian context. The aim of this set of recommendations is to both increase the number and enhance the quality of transplantable organs.

How to cite this article: Zirpe KG, Tiwari AM, Pandit RA, Govil D, Mishra RC, Samavedam S, et al. Recommendations for Evaluation and Selection of Deceased Organ Donor: Position Statement of ISCCM. Indian J Crit Care Med 2022;26(S2):S43-S50.

Keywords: Brain death; Donor age; Donor evaluation; Expanded criteria donor; Intensivist; Transplantation.