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Diagnosis of Brain Death and Policy on Cadaveric Organ Procurement in KSA

Brain Death Committee National Kidney Foundation, Riyadh
Kingdom of Saudi Arabia

National Kidney Foundation
P.O. Box 27049, Riyadh 11417
Kingdom of Saudi Arabia

SAUDI KIDNEY DISEASES AND TRANPLANTAION BULLETIN. Vol. 3, No. 3, 1992
C o n t e n t s

 Foreword

1.0     Introduction
2.0     General considerations

2.2     The concept of brain death
2.1     Why cadaveric kidney transplantation?
2.2.1       Who is responsible for the diagnosis of
              brain death?
2.2.2       Who is responsible for the care of
              patients with brain death?
2.3     Cadaveric donors
2.4     Potential cadaveric donor
2.4.1       Initial recognition of a potential donor
2.4.2       Contraindications for accepting a
              donor
3.0     Brain death: Medical aspects
3.1     Definition
3.2     Preconditions for the diagnosis of brain death
3.3     Exclusions
3.4     How to diagnose brain death?
3.4.1      Initial clinical examination
3.4.2      Tests for brain-stem reflexes
a)       Pupillary response to light
b)       Corneal reflex
c)       Oculo-cephalic reflex (Doll's head
          eye phenomenon)
d)       Vestibulo-ocular reflex (Caloric
          test)
e)       Upper and lower airways
          stimulation
3.4.3      Observation period
3.4.4      Confirmatory tests
i)        EEG
ii)       Angiography
iii)      Other optional tests
3.5     Apnea test
3.5.1      Testing for apnea
3.5.2      Precautions
3.5.3      Procedure for the apnea test
3.6       Declaration of brain death
4.0     Brain-death certification in children
5.0     PROCEDURE TO BE TAKEN WHEN THERE IS A POTENTIAL BRAIN DEATH
        
5.1   STEPS OF ORGAN PROCUREMENT AND COORDINATION


6.0      Factors influencing the success of procurement of
            organs   

        
6.1       Nurses' role in organ donation
6.2       Factors affecting the decision to donate
6.3       Factors contributing to loss of potential donors
6.4       Recommendations to help increase the number of
           organs harvested 
Appendices

  1. When is a potential cadaveric donor unfit to donate.
  2. Brain death documentation form.
  3. EEG guidelines.
  4. Potential cadaver donor maintenance protocol.
  5. Goals of donor maintenance.
  6. Religious aspects of organ transplant: Purport of the Senior Ulama Commission's decision No. 99.
  7. Resolution of the council of Islamic jurisprudence on resuscitation apparatus.            
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