Self-Sufficiency in Organ Donation a Challenge in Donor Detection

Rubén Darío Cama

Abstract

Currently, the need to have a larger number of valid organs to be transplanted has allowed updating a type of organ donor; It was used in the first moments of the expansion of the cadaveric kidney transplant, before the legalization of the diagnosis of brain or brain death. They are currently called asystole donors (DA), also known as Non-heart beating donors. Organizations that promote organ donation in different countries of the world, including: The National Transplantation Organization (ONT), the National Central Institute Single Coordinator of Ablation and Implant (INCUCAI), the United Network for Organ Sharing (UNOS), accept the brain death donor, the asystole donor, and the imminently deceased donor as a form of organ donation self-sufficiency. Methods: A history review of the medical literature on organ donation is made, since organ donation in brain death was legalized in 1968. The Maastricht criteria in 1995 for donor in asystole (DA). The Global consultation of the World Health Organization (WHO) in 2010 where self-sufficiency in organ donation is proposed, up to the document “intensive care oriented to organ donation (ICOD)” issued in 2017 by the Spanish society for intensive and coronary care (SEMYUC) and the National Transplant Organization (ONT).