Skin donation ppt123by Dr. Sunil Keswani, National Burns Centre, Airoli

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  • Skin donation ppt123by Dr. Sunil Keswani, National Burns Centre, Airoli

    1. 1. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com SKIN DONATION AND SKIN BANKING Dr SM Keswani RC Bombay North Skin Bank National Burns Centre with EURO SKIN BANK Airoli, Navi Mumbai smkeswani@gmail.com 1
    2. 2. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  Most popular organ donation in terms of life-saving is blood and hence most meaningful  Eye donation is fast becoming popular, and one is aware of the possibility to donate eyes after death  Kidneys and liver are donated as well but this is less common due to complexities involved  The next achievable donation will be human skin. 2
    3. 3. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com 3
    4. 4. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  Is the largest organ of the human body  It protects and drapes the body  It also supports the entire cosmetic industry  The most common cause of skin damage is burns 4
    5. 5. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Thermal Burns Dry Burns – Flame Scald Burns 5
    6. 6. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com Chemical Burns – Acid, Alkali Electrical Burns – Electrical Spark and Electrical Shock Radiation Burns – Nuclear, Sunburn, X-Rays 6
    7. 7. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com   Body surface area Intensity of burn (Partial thickness/Full thickness) 7
    8. 8. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  India records 70 lakh burn injury cases annually  Of which 1.4 lakh people die every year.  Around 70% of all burn injuries occur in the most productive age group (15-35 yrs).  Around four out of five burnt cases are women and children.  As many as 80% of cases admitted are a result of accidents at kitchen-related accidents.   Source: Union Ministry of Health (Govt. of India) Reported by Times of India 8
    9. 9. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  The body’s first line of defense  Is water proof and prevents infection from entering the body  When severely damaged, the defense mechanism breaks down  If untreated, bacterial infection, dehydration, loss of protein and electrolytes takes place  Ultimately the victim dies 9
    10. 10. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com  When skin is damaged it either    Heals on its own or Needs donor skin or a graft This grafted skin provides comfort and prevents fluid loss and infection ‘SAVES THE LIFE OF A BURN VICTIM’ 10
    11. 11. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  Permanent skin cover:   Autograft – From the victim’s unaffected area Temporary skin cover:    Homograft – Live Donor Allograft – Cadaver Donor Xenograft – Porcine Pigs and Bovine Cows 11
    12. 12. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com  Most preferred donor skin  Only the superficial layers of the skin are harvested from thighs and back  No disfigurement  No bleeding  No matching is required  Can be harvested in 45 minutes  Should be harvested within 6 hours after death 12
    13. 13. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com People expired due to:  HIV and Hepatitis negative  Skin disease  Cancer  Active Jaundice  Sexually transmitted disease  Severe infection 13
    14. 14. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  Retrieval  Processing  Storage  Distribution  Medical documentation Donated skin is a boon to patients with burns 14
    15. 15. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Dermatome with blade 15
    16. 16. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Cleaning with Betadine 16
    17. 17. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com 17
    18. 18. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com 18
    19. 19. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com DRESSING THE BODY AFTER SKIN HARVESTING 19
    20. 20. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  Skin can be stored for a longer time by reducing its metabolism by reducing its temperature  4-6 deg C (Normal Fridge) 3-4wks  -40 deg C (CO2 Snow) 6 months  -196 deg C(Liq N2) 1 yr  Glycerol 85% 3-5 yrs 20
    21. 21. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Supported by :  RC Bombay North  RC Deonar  RC Bombay Worli  RC Bombay Juhu Beach  RC Ghatkopar  RC Airoli Linktown  INNER WHEEL Dist 3140  ROTARY Dist 3140 21
    22. 22. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  Mumbai city alone needs 2000 skin donations a year i.e. 5 a day!!  Present supply is 5 a month!!  So many patients are DYING  So many precious human lives could have been saved if ENOUGH donor skin was available 22
    23. 23. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  Free availability of skin grafts could help in keeping the victim alive  If anyone truly wishes to help burn patients, please consider post-mortem skin donations, much like you might consider donation of other organs  No religion explicitly prohibits organ donation 23
    24. 24. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  Do inform your family as your next of kin will be asked to make the final decision about you becoming a donor, even if you are registered.  It is important that he or she is aware of your wishes before an emergency arises 24
    25. 25. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  Skin Bank is a service. It is not a product. It can only work with the cooperation and coordination of the people, for the people.  National Organ Transplant Act prevents the purchase and sale of donor organs. 25
    26. 26. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com “You give but little when you give of your possessions. It is only when you give of yourself that you truly give” -Kahlil Gibran The Prophet 26
    27. 27. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  Those willing to donate skin can contact    Burns Helpline 27793333 (24x7 ser vice) Website- www.skindonation.in Those of you who wish to increase awareness of Skin donation can visit National Burns Centre - Airoli 27
    28. 28. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  DONATE SKIN AND SAVE A LIFE NATIONAL BURNS CENTRE, Airoli, Navi Mumbai 28

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