Dr. Sunil Shroff, M.S., F.R.C.S (U.K...), D.UROL (LOND.), Professor of Urology, DEPARTMENT OF UROLOGY & RENAL TRANSPLANTATION Sri Ramachandra Medical College & Research Institute Porur, Madras. Tamil Nadu, India THE “RAMACHANDRA PROTOCOL” FOR ORGAN DONATION

Multi-organ transplant activity in India possible due to “The Transplantation of Human Organ Act (Act No. 42)” passed in 1994 & acceptance of concept of “Brain Death" by Central Government This dawn of a new era in the Indian is the medicine.

Since the Act was passed about only small number of ( n 480 – ) cadaver organ donation has taken place in India

How does one approach subject of Organ Donation with Relative’s of a Brain dead Patient in an emotionally difficult situation?

Reason of failure of Cadaver organ Donation Programme Organisational Difficulties  Organisational Difficulties  Consent from Donor Family

Based on this Study we at Sri Ramachandra Hospital Designed a standard Protocol to be followed by any member of the staff “Asking for Organs”

The Protocol called: “SRI RAMACHANDRA PROTOCOL FOR ORGAN DONATION ”

Eye Donation Consent: 72% Eye Donation Consent: 72% Solid Organ Donation: Less than 50% Solid Organ Donation: Less than 50% CONSENT FOR ORGAN DONATION BASED ON OUR STUDY:

“RAMACHANDRA PROTOCOL” TO ASK FOR ORGANS IN THE EVENT OF “BRAIN DEAD” PATIENT ASK FOR “EYES” FIRST - SEE HOW FAMILY REACTS Family Willing Family Reluctant Ask For Solid OrgansAbandon Efforts (Heart, Liver, Kidneys etc..) Inform Transplant Co-ordinator

CONCLUSION “Breaking the ice” asking for organs is a difficult task “Eyes” Donation widely accepted by Indian Society Asking for “Eyes First” likely to yield higher consent for solid organs “Ramachandra Protocol for Organ Donation” may help the cause of solid organ donation