This document discusses the history and concepts of organ donation in India. It outlines key milestones in organ transplantation, including the first successful kidney, heart, lung, and pancreas transplants. It notes the large gap between the number of organs needed annually versus the number of transplants performed. The document defines organ donation and distinguishes between living donors, cadaver donors, and organ donation before and after death. It also explains the concepts of brain death and cardiac death. Finally, it discusses challenges around awareness of brain death and the need for government funding and interest to strengthen organ donation programs.

1. Dr. Santosh Agrawal
Chief Urologist & Kidney Transplant Surgeon
BANSAL HOSPITAL, BHOPAL
CONCEPT OF BRAIN DEATH AND ORGAN
DONATION

2. 1. 1967 - First successful cadaver
Kidney Transplant in India at KEM
Hospital, Bombay
2. 1994 - First successful heart
transplant done at AIIMS, New Delhi
3. 1995 - First successful multi-organ
transplant done at Apollo Hospital,
Chennai
4. 1998- First Successful Lung
transplant, Madras Medical Mission
Hospital, Chennai
5. 1999- First Pancreas Transplant,
Ahembdabad

3. 1,50,000 needed
3000 done /year

4. 25000 needed
300 done / year

5. Organ donation is the
process of removing
tissues or organs from a
live, or recently dead,
person to be used in
another.
The former is the donor
and the latter is the
recipient.
People of all ages can
become donors.
What is Organ donation?

6. Living Donors
Cadaver Donors

7. ORGAN DONATION BEFORE DEATH
1.KIDNEY
2.LIVER ¼
3.BLOOD

8. Brain Death
Cardiac Death

9. DONATION AFTER DEATH
AT HOME
1.CORNEA
2.SKIN
3.BODY DONATION

10. Legalised Brain Death and removal of organs
for therapeutic purposes.
Banned commercial trading of organs from
living unrelated donors.

11. WHAT IS BRAINWHAT IS BRAIN
DEATH/BRAIN STEMDEATH/BRAIN STEM
DEATHDEATH

16. APPROPRIATE AUTHORITY

17. GREEN
CORRIDOR
GREEN
CORRIDOR

23. Community Problem No Awareness of “Brain-
Death” Concept,
Misconcepts
Hospital problem No efforts to identify &
maintain “Brain Dead”
donors
Govt. Problem No Funding for programme
No Interest
Spain has the highest number of brain death patients going
on to organ donation – 32 per million population

24.  Mass education by all possible medium.

27. Each Body Donation –
10-15 medical students benefited
Each cadaver organ Donor –
50 persons benefited
Body Donation V/S Organ Donation