Ms Pallavi Kumar was invited as a speaker at a CME on ‘Cadaveric Organ Transplant’ held on December 17, 2013 at 02:00pm in the conference room, PGIMER building, RML Hospital. The programme was a first of its kind to be initiated by the RML Hospital and was entirely made possible by the initiatives taken by Dr. (Prof) Sham Sunder, Consultant and HOD Nephrology Department. The Chairpersons of the programme were Dr. (Prof.) Sham Sunder and Dr.Vijay Gupta and the Organizing Secretary was Dr Sunil Saxena.
Dr.Ram Manohar Lohia Hospital formerly known as Willingdon Hospital is a 984 bedded hospital which was originally founded with only 54 beds in the early 20th Century by the British Raj for their government staff. In 1954, in the newly independent India, control of the Hospital was transferred to the Central Government’s Ministry of Health and Family welfare. Spread over an area of 30 acres the RML Hospital is one of the leading and reputed Hospitals of the country. In a year it provides services to about 1.2 million patients as OPD cases, admits about 46,000 patients in Indoor and about 150,000 patients are attended in the Emergency.
The session started off with a presentation by Prof. Sham Sunder on “the Cadaveric Organ Transplant Status in India.” He gave an overview on deceased organ donation, some of the challenges and issues and the disparity between the donor and recipient ratio. He also presented the current figures for the transplant centers in India. Dr Sunder shared that RML is now going to actively start working on making deceased donation possible within the hospital and the CME was the first step forward in sesnsitising the staff.
The second presentation was given by Capt. Sudeep Naidu, Transplant Surgeon, R&R Hospital on “Brain Stem Death Certification “and he explained in detail the concept of brain death and the tests that are mandatory for diagnosing and confirming the brain death. He also elaborated on the process that comes into being after a brain death is established and stressed on the dos and don’ts in reference to the patient after having been declared so.
Following the enlightening and resourceful session by Capt. Sudeep Naidu, the 3rd presentation of the day was by Dr.Rajesh Pandey, Director Anesthesia, Critical Care and Emergency Medicine, BLK Super Specialty Hospital, on “Donor Organ Maintenance in ICU”. The presentation specifically focused on the medical management and the role played by the medical team ,starting from the role of the intensivist, transplant team, the ICU staff Nurse and all those involved to ensure that the organ are kept in optimum functioning and condition till they are retrieved for transplantation. He also emphasized on the conditions that were to be avoided and that lead to the deterioration of the organs in question thus rendering them not viable for the intended purpose/transplantation.
The next presentation of the day was given by Mr. Rajeev Maikhuri, Transplant Coordinator, ORBO, AIIMS on “Role of Transplant Coordinator in Deceased Organ Transplantation”. He cited his own experiences as a transplant coordinator, the difficulties he had encountered and the role and responsibilities of a transplant coordinator. He also expanded on the role of a transplant coordinator after a brain death has been established and the formalities and legalities that are associated with the whole process. The presentation was a very informative and helpful and gave an insight to what a transplant coordinator should be expecting and ready for in such a scenario as mentioned.
Following this was a presentation by Dr. Anil Kumar, CMO, DGHS, Nirman Bhawan, New Delhi on “Legal Issues in cadaveric transplant”. It dealt with the legal issues involved in the deceased organ donation programme and expanded upon the laws established by the Government to support the deceased organ donation and the recent amendment made to the 1994 act .He also presented the latest data on the deceased organ donation which seem very bleak and disturbing considering the population of our country.
The last presentation was by Ms.Pallavi Kumar, Director, MOHAN Foundation, New Delhi on the “Challenges in Cadaveric organ Transplantation and Tamil Nadu Model of Cadaveric organ Transplantation.”The presentation was started off with Ms.Pallavi Kumar stressing on the need of the adoption of the Tamil Nadu Deceased Donation Programme in lieu of its success manifested in the deceased organ donation rate of Tamil Nadu which is almost 8% of the National rate. She also emphasized on the problems and the steps that can be taken to improve the cadaveric organ donation rate, the need to improve legislations by the Government, to empower the transplant coordinators and the need for all the sectors, namely government, private and the sectors to work collectively to ensure the success of the programme.
The presentation was followed by a brief question and answers session and winded up by 4.30 pm.
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