Organ donation following the circulatory determination of death (DCD): an audit of donation and outcomes following renal transplantation.

Irish medical journal

PubMedID: 24592639

O'Rourke J, Zimmermann JA, Shields W, McLaughlin D, Cunningham P, Magee C, Hickey DP. Organ donation following the circulatory determination of death (DCD): an audit of donation and outcomes following renal transplantation. Ir Med J. 2014;107(1):11-4.
Organ Donation following the Circulatory determination of Death was introduced in Beaumont Hospital during 2011. The Intensive Care Society of Ireland formally endorsed a national DCD clinical practice guideline in 2012. This retrospective audit covers a 2-year period during which eleven patients were considered suitable for DCD and where consent was obtained. Nine patients died within the ninety-minute period following the withdrawal of life sustaining therapies and subsequently donated organs (82%). Eighteen kidneys were recovered and seventeen patients received renal transplants--one patient received a nephron-dosing dual renal transplant. Lungs were recovered on two occasions and one patient received a lung transplant. Heart valves were recovered on one occasion. To date sixteen of seventeen recipient patients have functioning renal transplants (94%). In conclusion, this model of deceased donation has proven acceptable to families, nursing and medical staff and the outcomes reported are consistent with international best practice.