A NEW APPROACH FOR INCREASING THE ORGAN SUPPLY

The donation of organs and tissues for the benefit of another person i s an altruistic act and one that is a guaranteed option for the next-o f-kin through various national Required Request legislations. At the W ashington Hospital Center we have developed an approach that permits o rgan recovery from non-heart beating donors. The focus is on victims o f fatal trauma and assures that each family is empowered with the righ t to make a donation decision. In October 1993 a consensus conference was held on implementing a program to recover organs from fatal trauma victims. The participants recommended that safeguards be incorporated to assure ethical treatment of both the trauma victim and the next-of -kin. An Office of Decedent Affairs (ODA) was then established and imp lemented in September 1994. The ODA is staffed by Family Advocates who are on duty continuously and respond to all trauma and death events. Their mission is to consolidate all death events, provide support to d ecedent families, assure that required request mandates are fulfilled, interact with the local Organ Procurement Organization (OPO) in the c onsent process, and facilitate the implementation of the Rapid Organ R ecovery Program (RORP). The RORP consists of two specific procedures: cannulation of the femoral arterial-venous system for flushing the kid neys with a preservative solution, and intubation of the peritoneum fo r in situ cooling using an ice/lavage process. In the 1-yr period sinc e the ODA was established, organ and tissue donation has increased by more than 300%.