At the brink of the third millennium organ transplanta mati on how, in the case of shortage, a fair allocation of tion will become routine and the results will be so ex the scarce organs can be achieved. This is a very cellent that every patient in need of a transplant timely subject that continues to be discussed between deserves to be transplanted. How to provide every doctors and between laymen. patient with his or her organ and how to guarantee This book serves the needs of several groups of that the organ is in a superb condition? That is the specialists working with transplant patients. Firstly, the challenge for all of us privileged to work in this doctors who are directly involved in the care of the magnificent field of medicine. multi-organ donor, and who have to collaborate to do In this book, an international team of experts has the best for their recipients. Heart surgeons might like laid down their intellectual knowledge on the process to learn from liver surgeons and vice versa. Secondly, that precedes successful transplantation: Procurement, the paramedical specialist who is involved in the treat Preservation and Allocation. In four sections important ment of transplant patients and their families will find aspects of this preamble of the actual transplantation in this book many answers to questions. Students can are dealt with. also use it as a source for general information.

Over the last few years, transplantation knowledge and techniques, as well as insights into pharmacology, have improved, thus enabling greater access to transplantation for patients. The pool of organs for transplantation is stable, and therefore insufficient to cope with the growing demand. To adjust demand and resources in the most equitable way, organ procurement and allocation have been organized nationally and often across borders. The national and international organ exchange programs were studied and discussed during the Congress on Organ Allocation, from which this book is derived. This book describes the state of the art in the management of waiting lists and the allocation of organs in transplantation. It includes chapters on the possibilities of expanding the pool of available cadaver organs. It also analyzes the results of transplantation of cadaver organs from older donors and marginal, non-heart beating donors. Transplantation policies based on the offering of organs by living donors are also described, as is the impact of delayed graft function on organ allocation.

Organ transplantation raises singularly difficult ethical and legal issues in its requirement for donated organs. Strategies to facilitate supply in the face of increasing demand must be ethically sound and subject to an appropriate and effective regulatory framework. Professor David Price reviews the ethical principles and positions underpinning such law and policies, probing for coherence, consistency and justification. The book incorporates a comprehensive analysis of existing laws and policies governing transplantation practices around the world. It examines the meaning of death, cadaver organ procurement policies, use of living donors, trading in human organs, experimental transplant procedures and xenotransplantation. Drawing upon a wide range of disciplinary and empirical materials Price explores the balance between the interests of donors, recipients, clinicians, and society, identifying the specific challenges of this subject and seeking to guide current practices and future developments in the context of cultural diversity and pluralistic societies.

It is like a fairy story! Or at least a beautiful epic, a truly significant page in the history of medicine, a staggering scene in which several actors come into play, both fundamentalists and clinical practitioners, eager to place all these new developments at the disposal of those suffering from ill health. Everyone is passionate about their work, be it providing new knowledge or perfecting new therapeutic methods. Man has always been fascinated by the possibility of replacing a damaged organ with a healthy one. Several attempts have been made over the centuries, and some miracles have been reported, such as those of Saint Damien and Saint Come as illustrated by Fra Angelico. The modern saga, however, started more modestly on the mouse. It is on the mouse that the first tissue group was discovered; yet the study of human tissue groups could only be carried out on a human. One human must be subjected to the thousands of tests that have enabled us to unravel the extraordinary complexity of the HLA system.

A proposal for resolving tensions between professionals and society regarding tissue for transplants and research, while properly protecting donors' interests.

Updated to reflect today’s practice guidelines, the new edition of this comprehensive text remains the definitive resource on all aspects of renal transplantation, including immunological, pathological, psychological and ethical considerations. It examines evaluation, management, and procurement of living and deceased donor kidneys, the selection of suitable recipients, interpretation of graft dysfunction, and expected survival based upon a large database of information. There are comprehensive chapters on pediatric renal transplantation and on renal transplantation in the developing world. Extensive tables and figures and comprehensive lists of references with each chapter enhance its value to the transplant team. A multidisciplinary approach from internationally renowned contributors from around the world-many new to this edition-offers practice-applicable guidance for all members of the transplant team, with coverage encompassing applied science, clinical information, and surgical procedures. This 6th edition remains the balanced reference you need to stay apprised of issues important to successful kidney transplantation. Provides a comprehensive description of surgical techniques, immunosuppressive methods, outcomes, risks, and medical considerations related to kidney transplantation, both in adults and children, in one convenient reference. Presents more than 335 superb illustrations-50 in full color-that demonstrate key concepts and nuances of techniques. Features a multidisciplinary approach from contributors from around the world-many new to this edition-offers practice-applicable guidance for all members of the transplant team, with coverage encompassing applied science, clinical information, and surgical procedures. Offers evidence-based decision making advice in renal transplantation-supported by a wealth of data in chapters written by internationally recognized experts-to help you make the most informed clinical decisions. Offers new tables and figures as well as revised and updated chapters that report new data and present current practice guidelines. Features a new chapter on transplantation in the sensitized patient to assist you with transplant cases that present unique challenges. Describes the latest preclinical and clinical immunosuppressive strategies, to help you see the link between clinical issues and the basic sciences. Offers tissue typing methodology updates, equipping you with the newest methods of assessing immune responses to the kidney. Features a new chapter on chronic allograft nephropathy.

Advances in Cardiovascular Technology: New Devices and Concepts is a comprehensive reference for cardiovascular devices of all types. For engineers, this book provides a basic understanding of underlying pathologies and their prevalence/incidence. It also covers what devices are available, how they are clinically used, and their impact on pathophysiology. In addition, the book presents the constraints imposed on device design and manufacture by the environment in which it is used (e.g., exposure to tissues within the body, blood in particular) and the primary requirements for each specific type of device, including its durability and resistance to fatigue. For clinicians, this book contains information on primary engineering challenges, the types of devices available, their advantages and disadvantages, and the (current and emerging) tools and materials available to device designers. - Covers innovative procedures and devices in cardiovascular technology - Gives an overview of the state-of-the-art technology and a view to the future - Features contributions from engineers, clinicians and researchers, taking an interdisciplinary view of the field

Organ shortage is an ongoing problem in many countries. The needless death and suffering which have resulted necessitate an investigation into potential solutions. This examination of contemporary ethical means, both practical and policy-oriented, of reducing the shortfall in organs draws on the experiences of a range of countries. The authors focus on the resolution and negotiation of ethical conflict, examine systems approaches such as the 'Spanish model' and the US Breakthrough Collaboratives, evaluate policy proposals relating to incentives, presumed consent, and modifications regarding end-of-life care, and evaluate the greatly increased use of (non-heart-beating) donors suffering circulatory death, as well as living donors. The proposed strategies and solutions are not only capable of resolving the UK's own organ-shortage crisis, but also of being implemented in other countries grappling with how to address the growing gap between supply and demand for organs.

This handy pocket-sized looseleaf reference contains all of the essential information that surgical residents and medical students need to have at their fingertips for day-to-day patient care. The six-ring binder can accommodate the resident's or student's own notes, or the printed looseleaf pages can be added to his or her own pocket notebook. Pocket Surgery contains brief synopses of the basic steps of common operative procedures, including general/transplant surgery, vascular surgery, pediatric surgery, and other invasive procedures. Also included are instructions for perioperative care...brief explanations of radiologic studies...tables for organizing notes and orders...a glossary of abbreviations...and anatomic drawings for patient education.