A Collaborative Webinar Series between The Transplantation Society, the Indian Society of Critical Care Medicine, the Indian Society of Transplantation, and the International Society for Organ Donation and Procurement.
Presentation 8 - Controversies in Determining Circulatory Death…When is Dead, Really Dead?
Wednesday, May 18, 2022, 10:00 AM
(Local time in Montreal) Local time (Corresponding local time at your current location)
The duration of this presentation is scheduled for 60 minutes
The scientific study of the dying process has not received attention. In the context of organ donation, specifically donation after cardiocirculatory death, clarity around what happens during the dying process is especially important. Some have been concerned that auto resuscitation , the spontaneous return of circulation after the heat stops, makes determining how long the “hands off” time to wait after the heart stops, must be. Most areas that do DCD have a wait time of 5 minutes but there is variability…2-20 min.
Dr. Sonny Dhanani is the lead author of an international study that was a NEJM publication that studied the events at death.
Professor of Medicine, Nephrology, MOTP
McGill University Health Center, Montreal, Canada
Marcelo Cantarovich is Professor of Medicine, and Associate Director (Multi-Organ Transplant Program) at McGill University (Montreal, Canada). He currently serves as TTS President. His research focuses on multi-organ transplantation, immunopharmacology and renal protection strategies. He has published over 150 manuscripts in peer-reviewed journals. He is past President of the Canadian Society of Transplantation. He is the Chair of the TTS 2022 Congress in Buenos Aires. His primary focus is continuing education for young and established TTS members and increase global access to transplantation.
Research lines have been funded in competitive national calls: 6 as PI, author of 80 works indexed in PubMed (H-Index: 17), 8 directed PhD projects.
Assessor on Transplantation, Medical Direction
Hospital Clinic, Barcelona
Associate Professor, Medical School
University of Barcelona
MD, PhD, anesthesiologist, is Assessor on Transplantation, Medical Direction, Hospital Clinic, Barcelona; Associate Professor, Medical School, University of Barcelona; and President of the TPM-DTI Foundation, Past President ISODP-TTS and TTS European Councilor. He created the deceased and living donation program in the Hospital Clinic of Barcelona in 1985and the TSF multi-tissue bank in 1994. He is an expert in organ and tissue donation, training donor procurement, and tissue banking at national and international level. Among the most important positions he has occupied, he was the former president of the European Transplant Coordinators Organization (ETCO, the former vice president of the European Association of Tissue Banks (EATB) and, from 2015 until September 2017, he was the President of the International Society for Organ Donation and Procurement (ISODP). He is currently European Councilor of The Transplantation Society (TTS) for 2018-2022 and Chair of the TTS Anesthesia and Critical Care Committee (2020-2022).
President Elect – Indian Society of Organ Transplantation Past President Nephrology, Urology & Transplantation Society of SAARC countries Editor – Indian Transplant Newsletter Member, Advisory Board of Tamil Nadu (TRANSTAN) Organ Sharing Network
Vivek Kute, India ISOT Secretary TTS Ethics Committee Co-Chair Bio
Vivek Kute, MD, DM Nephrology(Gold Medal), FASN, FRCP(London), is a Professor and Unit Head Nephrology and Transplantation at Institute of Kidney Diseases and Research Center and Dr. H L Trivedi Institute of Transplantation Sciences (IKDRC-ITS), B J Medical College Ahmedabad, India. He is Secretary of the Indian Society of Organ Transplantation, member of the Scientific Program Committee for the TTS 2020 Seoul, Korea, congress, Councilor of The Transplantation Society (TTS), Councilor of Asian Society of Transplantation, member of the WHO Task Force Transplantation, member of the Declaration of Istanbul Custodian Group, member of Apex technical committee of National Organ and Tissue Transplant Organization,and ERAEDTA YNP Board of Advisors. IKDRC-ITS has completed 6100 kidney transplants including 925 deceased donor and 440 kidney exchanges. Dr. Kute’s vision for TTS includes outreach to developing countries and enhancing global alliances to Improve transplant registry outcome and access to transplantation, and to help promote TTS, its Mission and its Ethics in Asia and Globally. Dr. Kute has 150 peer-reviewed publications.
Department of Critical Care Department of Anesthesia, Pain Management & Perioperative Medicine
Dalhousie University, Halifax, Canada
Dr. Stephen Beed is a clinician at heart and has completed postgraduate training focused on Adult Critical Care Medicine plus Thoracic and Cardiovascular Anesthesia. His current clinical focus is in the Intensive Care Unit. Dr. Beed has recently been awarded the position of President-Elect (2019-2021) for the International Society of Organ Donation and Procurement Council. Having served as the Medical Advisor for the Nova Scotia Organ and Tissue Donation Program since its inception in 2006, he continues to contribute to the development of optimal care for organ and tissue donation by also serving as the Clinical Lead for the new presumed-consent legislation that has passed in Nova Scotia. He has also served at the national level by having served as National Chair of the Deceased Donation Advisory Committee (2008-2018) as well as serving as a member of the Organ Donation and Transplantation Expert Advisory Committee through Canadian Blood Services.
Sonny Dhanani, MD FRCPC
Chief, Pediatric Critical Care
Children Hospital of Eastern Ontario
Dr. Sonny Dhanani is a Fellow of the Royal College of Physicians of Canada. Dr. Dhanani received degrees in pharmaceutical sciences and medicine form the University of British Columbia in 1998. He completed his residency in pediatric and fellowship in pediatric critical care medicine at the Hospital for Sick Children in Toronto in 2002 and further trained at the Great Ormond Street Children’s Hospital in London, UK.
He is the chief of the pediatric intensive care unit at the Children’s Hospital of Eastern Ontario (CHEO) in Ottawa and Associate Professor (Pediatrics) at the University of Ottawa. Dr. Dhanani’s work as an intensivist in Pediatric Critical Care has been recognized by awards granted by several organizations including, the University of Ottawa, the Canadian Critical Care Forum, the Canadian Association of Critical Care Nurses, and CHEO.
He is the current co-chair of the provincial Pediatric Critical Care Advisory Committee. He has previously been the Chief Medical Officer - donation and also Medical Lead for Research for Trillium Gift of Life, Ontario’s organ procurement organization. He is now the Chair of the Canadian Donation Physician Network, and is Chair of Canadian Blood Services’ national Deceased Donation Advisory Committee. Dr. Dhanani is Associate Director for donation research for the Canadian Donation and Transplant Research Program.
In addition to his work as an intensivist, Dr. Sonny Dhanani has received significant funding from research organizations such as Physicians Services Incorporated Foundation (PSI), Centre hospitalier de l’Université de Montréal (CHUM), and Canadian Institutes of Health Research (CIHR). His own area of focus is leading international research pertaining to practices and standards for determining death after cardiac arrest for the purposes of donation. In recognition of his work Dr. Dhanani has been invited to give presentations at national and international forums.
Dr. Dhanani’s research work can be found in New England Journal of Medicine, American Journal of Respiratory and Critical Care Medicine, Canadian Medical Association Journal, and Critical Care Medicine. His work has led to multiple education protocols, and e-books such as Organ Donation in Ontario: A Guide for Critical Care Residents.
Professor and Head, Department of Nephrology, AIIMS, New Delhi
Prof. & Head of Nephrology at AIIMS, New Delhi, India, a center doing all aspect of nephrology and renal transplant since 1972. Current and held positions; Council member International Society Nephrology, Key Opinion Leader of TTS, Fellow of Am. Soc. Nephrology, Assoc. Editor Journal of Indian Soc. Organ Transplant and Indian Journal of Nephrology. Executive committee member of Indian Society of Nephrology and Indian Society of Organ Transplant. Member editorial board World J Transplant, Advisor Govt. Of India for National Organ Transplant Program, Member of committee making rules under Indian Transplant Act and monitoring transplant program in India. Country Leader of India for TTS, Organised 6th World Organ Donation Day in Delhi in 2009 More than 200 publications and PI of 26 funded research project. Editor in Chief Seminars in Dialysis and Indian J Nephrology. Champion from TTS for Asian region.
Director & Hod Critical Care
Fortis Memorial Research Institute, Gurugram
Intensive care medicine from PGIMS Rohtak.
Fellowship in Critical Care Medicine from Fortis Hospital, Vasant Kunj.
Worked in various hospitals like Sir Ganga Ram Hospital (2001-2005) and joined Fortis Group in 2005 and has been instrumental in starting Critical Care Medicine departments at Escorts Heart Institute. And Fortis Memorial, Gurgaon.
More than 15 years of experience in Critical Care Medicine.