Spanish doctors, who had visited different city hospitals in September, have recommended that hospitals doing organ transplant must define their transplant policy clearly.
Recently, the Spanish doctors have sent their recommendations to the Zonal Transplantation Co-ordination Committee (ZTCC) on what should be done to boost cadaver organ donation programme.
“All hospitals should define their transplant policy document in black and white,” Dr Jatin Kothari, joint sectretary of ZTCC, said referring to the recommendations made by the Spanish experts.
“Some of the important suggestions are: hospitals must involve an intensive doctor and an anaesthetist in the transplant programme; instead of a city registry, there is a need for a regional registry and national registry for cadaver transplant procedure; the ZTCC should work closely with all hospitals; the ZTCC should make all the transplant procedures clear and must prepare a living donor registry,” Dr Kothari said.
During their visit, president of Medical Director Donation and Transplantation Institute (DTI) Dr Marti Manyalich spoke on the Spanish model of cadaver organ harvesting.
Cadaver donors are people who have been declared brain dead and whose organs are kept functioning by machines until they can be used for transplantation. Patients seeking organ transplantation have to register with the ZTCC, a body that looks into making cadaver organs available to patients. The state health department later gives the final permission for transplantation as per the Human Organ Transplantation Act of 1994.
Sources from the health department said up to 103 brain dead persons were identified in Maharashtra last year. Out of it, kin of 35 agreed to donate organs. Recipients got 111 organs from them.
In Spain, there is a model for ‘negative consent’ or ‘opt out’ consent for all brain death cases. This means that the relatives of the donor have to sign a consent form that they do not want the organs to be removed for organ donation from the cadaver. Organ donation should be automatic for all brain dead donors and should be done in a transparent manner, after the appropriate authority approves it.
Suggestions
Hospitals must involve an intensive doctor and an anaesthetist in the transplant programme
Instead of a city registry, there is a need for a regional registry and national registry for cadaver transplant procedure.
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