Washington – Officials told the Congress on Tuesday that the US has developed new security measures for the organ transplant system after a Kentuki group continued to donate organ donation in a government investigation.
While the limb removal was canceled, it is remembered that some MPs are called frightening. A house subcommittee asked how to repair the trust in the transplant network for potential organ donors and families – some of which have excluded the donor after promoting these cases.
“We have to gain this right,” Rape Brett Guthari said, a Kentaki Republican, who headed the Energy and Commerce Committee and whose mother died of a liver transplant.
Guthari said, “Hopefully people will go away today, knowing that we need to address issues, but still believe that they can give life,” Guthari said, he said, he is making a registered organ donor.
After a federal investigation began, it was heard that a Kentaki donation group pressurized a hospital in 2021 to pressurize a hospital to move forward with a plan to withdraw life support and get limbs from a man that he could wake up from his drug overdose. This surgery never occurred when a doctor saw him walking and groaning while taking him to the operating room – and the man survived.
The MPs insisted that most of the organs donate properly and save the lives of thousands of people in a year. But the federal inqu
The report stated that some should have already been stopped or assured, and mostly possible organs were involved in small or rural hospitals with less experience in the care of donors.
The Kentucky Organ Procurement Organization, or OPO has made changes and the National Transplant Network is working on additional steps. But there was no testimony from hospitals on especially absent Tuesday – whose doctors should independently determine that a patient has died before donation groups are allowed to regain organs.
There is a look here how the transplant system of the nation works.
According to the Organ Procurement and Transplantation Network, more than 100,000 people die in the US transplant list and about 13 days.
Only 1% of deaths occur in such a way that one allows someone to consider for organ donation as well. Most of the people declared dead in the hospital will quickly be transferred to a funeral house or morgue.
Many groups involve every transplant: the hospital takes care of someone dead or dying; 55 OPOs that coordinate the recovery of organs and help them match patients in the waiting list; And the transplant centers that decide whether an organ is perfect fit for their patients.
Connecting complexity, two government agencies – HRSA, health resources and service administration, and centers for medicare and medicade services – share regulatory monitoring of various parts of the donation and transplant process.
Most organ donors are brain-urged-when the test determines that one has no brain function after a frightening injury. The body is released on a ventilator to support the organs until they are recovered.
But rapidly the organs are donated after circulating death, called DCD – when people die because their heart stops. This usually occurs when doctors determine that someone has a fruitless injury and the family withdraws life support.
Hospitals need to alert their area OPOs to every possible donor, which is declared brain-to-death or it is decided to withdraw life support once. Barry Masa of Kentki’s Network of Hope said, “OPOs by law cannot participate in that decision and” we are not even in the room at that time. ” ,
During the days of preparation, the hospital staff continue to take care of the patient – while the donation team talks with the family about this process, gathering the hospital records, which is eligible to the patient, requests the testing of the quality of the organ, and arranges with the transplant centers to use them.
Once the hospital withdraws the support of life and the heartbeat stops, a compulsory wait – five minutes – to ensure that it will not resume. When doctors declare death, the limb recovering process may begin.
The organs are considered to be usable only if death occurs relatively early, usually up to about two hours. Sometimes it takes longer and thus the organs cannot be used – and Dr. of HRSA. Raymond Lynch told the Congress that nothing was necessarily done wrong. Nevertheless, he said that HRSA is investigating reports of possible mistakes elsewhere.
“This is a demand for technically a demand” that requires good cooperation between the OPO and the hospital, “he said.
On the issue how doctors are sure when it is time to withdraw life support from a dying patient – and once after death, the delicate balance of how OPOs interact with hospital staff in preparing donation.
In May, the HRSA quietly ordered the US transplant network to improve Kentaki OPO and develop new national policies, making it clear that anyone – family, hospital staff or organ employees – can call for a stop in preparation for donations, there are concerns about the eligibility of the patient at any time.
Lynch said that the government now wants more active cooperation than OPOS to “clearly understand the hospital employees to stay temporarily and re -evaluate the potential donor if their health status changes.
Kentki’s Masa said that his group received only HRSA reports this week – but after knowing about the allegations of previous collapse, it made some changes. Massa said that the doctors and nurses of every hospital now get a checklist on taking care of potential donors and how to stop when raising concerns – and anyone can report anonymity.
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