Things You Need to Know Before You Put an Organ Donor sticker on Your License

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Deciding to become an organ donor is a very good thing to do. There is a huge shortage of organs ready for transplant and close to 100,000 patients are on a waiting list to receive them. I can only encourage you to reconsider becoming an organ donor.

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I often see patients in the intensive Care Unit with severe and irreversible brain damage. Most of those patients could have become organ donors. Many patients had even expressed their desire to become an organ donor prior to becoming disabled. Few of them in effect donate their organs. Why is this happening?

Often, it becomes a family decision to amble with organ donation. The lack of comprehension of the basic procedures involved in organ donation and organ harvesting can lead the family to decline it. I have seen, on a many occasions, family changing their minds in the last moment.

Patients become organ donors in two cases: if the outpatient is pronounced brain dead or if the outpatient is suffering from a severe and irreversible health with no meaningful opening for salvage (usually severe brain damage from trauma, bleed or stroke). In both cases, the outpatient should be carefully a convenient donor based on the allinclusive photograph of health.

If the outpatient is pronounced brain dead based on clinical criteria and a confirmatory test, his or her organs could be taken immediately. It takes some time, though, to run all the primary tests on the organ donor. Matching the donor with the organ recipients will likely delay this process as well. And, finally, depending on the location of the hospital, allow some time for the transplant team to get in there. All in all, it might take 8 to 18 hours before the organs could be harvested. This is carefully to be a more "straightforward" process.

If the outpatient is not brain dead, the process could take even longer. At this point the donation is potential per the Donation After Cardiac Death (Dcd) Protocol.

In this case, the donor becomes a non-heart beating donor. What it means is that the outpatient will be taken to the operating room where life retain is going to be removed. If the outpatient is pronounced dead (no spontaneous breathing or heart beat) within a short period of time (usually 2 hours) his or her organs will be taken for donation. Often, it takes some time for the outpatient to become "ready". It is not unusual to wait up to any days for the neurological damage to develop so that there is a higher opening of the outpatient dying within two hours so that the organs could be taken. It is often hard for the family to wait up to any days after they decided to withdraw care. In my experience, the need to wait and the uncertainty of the process often make the family change their mind.

The doctor overseeing the process of organ donation is allowed to administer pain medications to keep the outpatient comfortable. The line in the middle of holding somebody comfortable and facilitating death is somewhat blurry, though. A transplant surgeon from California was charged with accelerating the death of a outpatient to harvest his organs by administering high doses of Morphine. The doctor was later acquitted of felony charges.

In conclusion, the process of organ harvesting is a very involved and even lengthy process. A great comprehension on the part of the family might heighten our chances of providing more organs for the patients in need.

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