Knowledge and Attitudes Toward Organ Donation Among Tunisian Adults: Results of a National Survey
CONCLUSIONS: Tunisian adults seem to have positive attitudes regarding organ donation. However, the proportion of respondents who included their donor status on their national identity cards was low. It is important to enhance information and education on organ donation in an effort to mitigate the shortage of organs.PMID:38385402 | DOI:10.6002/ect.MESOT2023.P56 (Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation)
Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation - February 22, 2024 Category: Transplant Surgery Authors: Wafa Aissi Nadia Kaffel Rafika Bardi Imen Sfar Yousr Gorgi Taieb Ben Abdallah Tahar Gargah Jalel Ziadi Source Type: research

Attitudes of Future Nurses and Midwives On Organ Donation and Transplantation and Affecting Factors: A Cross-Sectional Study
CONCLUSIONS: This study highlights the need for health care professionals, including nursing students, to be educated and prepared to promote and support organ donation. By understanding the factors that influence attitudes, interventions and educational programs can be developed to improve organ donation rates and address misconceptions or concerns among nursing students.PMID:38385400 | DOI:10.6002/ect.MESOT2023.P52 (Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation)
Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation - February 22, 2024 Category: Transplant Surgery Authors: Halil İbrahim Taşdemir Source Type: research

Personalism and boosting organ ResERVOirs: a consideration of euthanasia by removal of vital organs in the Canadian context
Canada’s decriminalisation of assisted death has elicited significant ethical implications for the use of assisted death in healthcare contexts. Euthanasia by removal of vital organs (ERVO) is a theoretical extension of medically assisted death with an increased plausibility of implementation in light of the rapid expansion of assisted death eligibility laws and criteria in Canada. ERVO entails removing organs from a living patient under general anaesthesia as the mechanism of death. While ERVO is intended to maximise the viability of organs procured from the euthanised patient for donation to recipients, ending the ...
Source: Medical Humanities - February 22, 2024 Category: International Medicine & Public Health Authors: Grunwald, J. Tags: Current controversy Source Type: research

Cyclosporine A Does Not Mitigate Liver Ischemia/Reperfusion Injury in an Ex Vivo Porcine Model of Donation After Circulatory Death
CONCLUSIONS We found minimal evidence that CsA is protective against hepatic IRI in our DCD model.PMID:38287661 | PMC:PMC10838008 | DOI:10.12659/AOT.941054 (Source: Annals of Transplantation)
Source: Annals of Transplantation - January 30, 2024 Category: Transplant Surgery Authors: Joshua Hefler Sanaz Hatami Aducio Thiesen Mitchell J Wagner Guilherme Mainardi Sayed Himmat Constantine J Karvellas David L Bigam Darren H Freed A M James Shapiro Source Type: research

Organ donation after medical assistance in dying: a descriptive study from 2018 to 2022 in Quebec
We presented all data descriptively with no comparison statistics.RESULTS: Transplant Québec received 245 referrals for donation after MAiD, of which 82 were retained (33.5%). Of the 163 nonretained referrals, 152 (93.2%) had a recorded reason, including 91 (55.8%) for medical unsuitability on initial screen (e.g., organ dysfunction, medical history), 34 (20.8%) for patient refusal and 21 (12.9%) instances where patients withdrew from the MAiD process entirely. Six patients died before MAiD. Eighteen of the 82 retained cases were cancelled later in the process, almost all (n = 17, 94.4%) because of medical contraindicatio...
Source: cmaj - January 29, 2024 Category: General Medicine Authors: Matthew J Weiss Mathilde Dupras-Langlais Marie-Jos ée Lavigne Sylvain Lavigne Annie-Carole Martel Prosanto Chaudhury Source Type: research

Organ donation after medical assistance in dying: a descriptive study from 2018 to 2022 in Quebec
We presented all data descriptively with no comparison statistics.RESULTS: Transplant Québec received 245 referrals for donation after MAiD, of which 82 were retained (33.5%). Of the 163 nonretained referrals, 152 (93.2%) had a recorded reason, including 91 (55.8%) for medical unsuitability on initial screen (e.g., organ dysfunction, medical history), 34 (20.8%) for patient refusal and 21 (12.9%) instances where patients withdrew from the MAiD process entirely. Six patients died before MAiD. Eighteen of the 82 retained cases were cancelled later in the process, almost all (n = 17, 94.4%) because of medical contraindicatio...
Source: Canadian Medical Association Journal - January 29, 2024 Category: General Medicine Authors: Matthew J Weiss Mathilde Dupras-Langlais Marie-Jos ée Lavigne Sylvain Lavigne Annie-Carole Martel Prosanto Chaudhury Source Type: research

Sociodemographic Characteristics and the Influence of Religion on the Knowledge of Doctors, Nurses, and the General Population in Montenegro About Transplant and Organ Donation
CONCLUSIONS: Healthcare workers had a higher level of knowledge about organ transplant and donation compared with the general population, which is justified by the gaps in education among the general population. In both healthcare workers and the general population, religion had no significant influence on the level of knowledge about transplantation.PMID:38263784 | DOI:10.6002/ect.2023.0243 (Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation)
Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation - January 24, 2024 Category: Transplant Surgery Authors: Damir Pelicic Tanja Vojinovic Marko Vukovic Dalibor Bokan Svetlana Radevic Source Type: research

Organ Donation and the Dead Donor Rule: A Synopsis of Pressing Ethical Controversies and Practical Questions
CONCLUSIONS: The debate regarding death and the acceptability of dead donor organs fortransplant does not have a straightforward solution, and efforts are needed to overcome social, cultural and religious objections.PMID:38263778 | DOI:10.6002/ect.2023.0247 (Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation)
Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation - January 24, 2024 Category: Transplant Surgery Authors: Hira G Nasir Aasim I Padela Source Type: research

Developing online communication training to request donation for vascularized composite allotransplantation (VCA): improving performance to match new US organ donation targets
Approaching families of dying or newly deceased patients to donate organs requires specialized knowledge and a mastery of relational communication. As the transplantation field has progressed, Donation Profess... (Source: BMC Medical Education)
Source: BMC Medical Education - January 22, 2024 Category: Universities & Medical Training Authors: Laura A. Siminoff, Gerard P. Alolod, Hayley McGregor, Richard D. Hasz, Patricia A. Mulvania, Laura K. Barker and Heather M. Gardiner Tags: Research Source Type: research

Effect of Extracerebral Contamination on Near-infrared Spectroscopy as Revealed during Organ Donation: A Prospective Observational Study in Brain-dead Organ Donors
ConclusionsThe abrupt end of extracerebral contamination, caused by aortic clamping, affected both NIRS monitors to a considerable extent. Both the INVOS and the ForeSight monitor were unable to detect severe cerebral hypoxia or anoxia under conditions of normal extracerebral oxygenation. While both NIRS monitors may guide measures to optimize arterial oxygen supply to the head, they should not be used with the intention to detect isolated cerebral desaturations.Editor ’s PerspectiveWhat We Already Know about This TopicNear-infrared spectroscopy is commonly used as a clinical measure of cerebral perfusion and oxygenation...
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research

Beating Heart Transplants – Overview and Implications for Anesthesiologists
As the demand of heart allografts for transplantation continues to rise, ex-vivo organ perfusion strategies are playing an increasingly important role in preservation of organs from donation after circulatory death (DCD) and extended-criteria donors. One such method utilizes the Organ Care System ™ (TransMedics, Andover, MA). Traditionally, this technique of preservation requires two periods of warm ischemia and subsequent cardioplegic arrest. In a novel surgical technique pioneered at our institution, heart allograft implantation no longer requires a second cardioplegic arrest. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 22, 2023 Category: Anesthesiology Authors: Perin Kothari, Larissa Miyachi Kiwakyou, Brandon A. Guenthart, Matthew Vanneman Tags: Special Article Source Type: research

Beating Heart Transplants —Overview and Implications for Anesthesiologists
As the demand for heart allografts for transplantation continues to rise, ex vivo organ perfusion strategies are playing an increasingly important role in the preservation of organs from donation after circulatory death and extended-criteria donors. One such method uses the Organ Care System (TransMedics, Andover, MA). Traditionally, this technique of preservation requires 2 periods of warm ischemia and subsequent cardioplegic arrest. In a novel surgical technique pioneered at the authors ’ institution, heart allograft implantation no longer requires a second cardioplegic arrest. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 22, 2023 Category: Anesthesiology Authors: Perin Kothari, Larissa Miyachi Kiwakyou, Brandon A. Guenthart, Matthew Vanneman Tags: Special Article Source Type: research

The Irreversible Cannot be Reversed: Normothermic Regional Perfusion is Euthanasia
There are insufficient organs for patients requiring transplantation. Widespread adoption of determining death by neurological criteria, formalized in the Uniform Declaration of Death Act in 1981, created a new pipeline for organ procurement as intended, but brain death accounts for only 2% of deaths in the United States (1). Controlled donation after circulatory death (cDCD) can occur more frequently, but the required waiting period and resultant ischemic time between declaration of death and organ procurement renders organs less viable (2,3). (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 14, 2023 Category: Anesthesiology Authors: Jonah Rubin Tags: Editorial Source Type: research

Who Should Be Legitimate Living Donors? The Case of Bangladesh
AbstractIn 1999, the Bangladesh government introduced the Human Organ Transplantation Act allowing organ transplants from both brain-dead and living-related donors. This Act approved organ donation within family networks, which included immediate family members such as parents, adult children, siblings, uncles, aunts, and spouses. Subsequently, in January 2018, the government amended the 1999 Act to include certain distant relatives, such as grandparents, grandchildren, and first cousins, in the donor lists, addressing the scarcity of donors. Nobody, without these relatives, is legally permitted to donate organs for transp...
Source: HEC Forum - December 8, 2023 Category: Medical Ethics Source Type: research

Expedited organ donation in Victoria, Australia: donor characteristics and donation outcomes
Conclusions: Expedited pathway donation is feasible with acceptable donation outcomes. Clinicians should consider donation even when physiological instability or family requirements preclude standard organ donation work-up times.PMID:38046868 | PMC:PMC10692516 | DOI:10.51893/2020.4.OA2 (Source: Critical Care and Resuscitation)
Source: Critical Care and Resuscitation - December 4, 2023 Category: Intensive Care Authors: Rohit L D'Costa Samuel Radford Helen I Opdam Mark McDonald Leanne McEvoy Rinaldo Bellomo Source Type: research