Sir,
The recent report on “organ retrieval and banking in brain dead trauma patients” is very interesting.[1] Sawhney et al. in their study concluded that “aggressive donor management, increasing public awareness about the concept of organ donation, good communication between clinician and the family members and a well-trained team of transplant coordinators can help in improving the number of organ donations.”[1] I would like to add few comments on organ donation. The organ donation acquisition is a very important determinant for success of organ transplantation. The problem of finding organ donor should be addressed. Based on our experience in Thailand, the problem in management of cadaver included mainly poor preservation, delayed delivery and reclaimed cadavers by their cousins (only 3.1% of donations could be finally used).[2] In addition, the problem of anti-human immunodeficiency virus seropositivity is significant and can be as much 2.4%.[3]
REFERENCES
- 1.Sawhney C, Kaur M, Lalwani S, Gupta B, Balakrishnan I, Vij A. Organ retrieval and banking in brain dead trauma patients: Our experience at level-1 trauma centre and current views. Indian J Anaesth. 2013;57:241–7. doi: 10.4103/0019-5049.115599. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Agthong S, Wiwanitkit V. Cadaver donation: A retrospective review at the King Chulalongkorn Memorial Hospital, Bangkok. Southeast Asian J Trop Med Public Health. 2002;33(Suppl 3):166–7. [PubMed] [Google Scholar]
- 3.Wiwanitkit V, Agthong S. The rate of anti-HIV seropositivity among donated cadavers: Experience in a cadaver donation center. Viral Immunol. 2002;15:659–60. doi: 10.1089/088282402320914601. [DOI] [PubMed] [Google Scholar]