VI International Workshop on DCD donors uncontrolled & controlled

In the recent years donation after cardio-circulatory death (DCD) donors, either from an uncontrolled or a controlled DCD program, have been a focus of intense interest in the transplant community, based on the high potential they have to increase the number of organ donors.

On one side, uncontrolled DCD donors – in whom cardiac arrest occurs unexpectedly, typically outside the hospital setting, and who are declared dead after unsuccessful attempts at resuscitation – has a huge potential to significantly expand the donor pool. In spite of its estimated potential, the actual use of organs from uncontrolled DCD donors for transplant is not sufficient. While many transplant groups across the globe are interested in initiating uncontrolled DCD programs, they lack the experience necessary to appropriately manage these donors during organ maintenance, recovery, and transplantation, in order to be able to achieve posttransplant outcomes similar to conventional donors.

On the other side, controlled DCD donors – in whom death diagnosis is certified by circulatory criteria while admitted to an intensive care unit after proceeding with a withdrawal of life-sustaining treatment (WLST), agreed by their medical team and based on the futility of treatment and the absence of prognosis, or in the context of a refusal of treatment – is a procedure that is becoming more and more common in the ICUs of transplant hospitals.

Training transplant professionals in the donation process and preservation techniques necessary to obtain viable organs from uncontrolled and controlled DCD donors is fundamental to expand the use of organs from this under-utilized resource. Hospital Clínic in Barcelona is a pioneering center in the use of organs from uncontrolled and controlled DCD donors.

Objectives

  • To provide transplant professionals with the knowledge and technical skills necessary to organize the uncontrolled and controlled DCD process and adequately maintain potential donors to obtain organs for transplant.
  • To discuss the results of these procedures, including potential pitfalls, areas for improvements, and perspectives toward the future

Adressed to

Health care professionals involved in uncontrolled and controlled DCD, including but not limited to emergency, intensive care and anaesthesia medical physicians, transplant coordinators and surgeons, working or interested in working in the field.

Content

Didactic sessions

  • Uncontrolled DCD and death diagnosis.
  • Controlled DCD and death confirmation.
  • WLST: withdrawal of life-sustaining treatment.
  • Donor preservation
  • Organ recovery: kidney, liver, heart, lungs.
  • Clinical cases.

Human simulator

  • Uncontrolled DCD
  • Controlled DCD.

Animal lab

  • nRP procedure.
  • Organ recovery.
  • Ex-situ evaluation.
  • Ex-vivo preservation machines.

 

Course Fee

Early bird fee: 1000€ (by March 30th 2019)

Regular fee: 1200€

Registration request submissions: info@tpm.org

Course secretariat

TPM-DTI Foundation

Parc Científic de Barcelona

Universitat de Barcelona

Torres R+D+I

C/ Baldiri Reixac, 4-8

TorreI, Planta 8

08028 Barcelona (Spain)

+34 93 403 76 87

+34 93 198 60 76

info@tpm.org

Course Venue

University of Barcelona

Medical School

Casanova 143

Barcelona

Language

English

Partners

  • Hospital Clínic de Barcelona
  • Universitat de Barcelona
  • DTI Foundation

Scientific Comitee

  • Constantino Fondevila. Liver Transplant Unit, Clinic Institute of Digestive and Metabolic Diseases (ICMDiM)
  • Fritz Diekmann. Kidney Transplant Unit, Clinic Institute of Nephrology and Urology (ICNU)
  • Ramon Adalia, Transplant Coordination Unit, Medical Direction.
  • Martí Manyalich, Assessor of Transplantation, Medical Direction.

Gallery