Upload
nationalburnscentre2000
View
382
Download
5
Embed Size (px)
DESCRIPTION
Citation preview
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
1
Dr SM KeswaniRC Bombay North Skin BankNational Burns Centre with EURO SKIN BANKAiroli, Navi [email protected]
SKIN DONATION AND SKIN BANKING
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
Dr. Sunil Keswani, National Burns Centre, www.burns-india.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
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
4
Dry Burns – Flame Scald Burns
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
5
Thermal Burns
Dr. Sunil Keswani, National Burns Centre, www.burns-
india.com, [email protected]
6
Chemical Burns – Acid, Alkali
Electrical Burns – Electrical Spark and Electrical
Shock
Radiation Burns – Nuclear, Sunburn, X-Rays
Body surface area Intensity of burn (Partial thickness/Full
thickness)
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
7
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
Dr. Sunil Keswani, National Burns Centre, www.burns-india.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
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]
9
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’
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]
10
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
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]
11
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
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]
12
People expired due to:
HIV and Hepatitis negative
Skin disease
Cancer
Active Jaundice
Sexually transmitted disease
Severe infection
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]
13
Retrieval
Processing
Storage
Distribution
Medical documentation
Donated skin is a boon to patients with burns
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]
14
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
15
Dermatome with blade
Cleaning with Betadine
16
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]
17
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]
18
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
19
DRESSING THE BODY AFTER SKIN HARVESTING
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
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
20
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
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
21
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
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
22
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
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
23
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
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
24
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.
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
25
“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
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
26
Those willing to donate skin can contact Burns Helpline 27793333 (24x7
service) Website- www.skindonation.in
Those of you who wish to increase awareness of Skin donation can visit National Burns Centre - Airoli
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
27
DONATE SKIN AND SAVE A LIFE
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
28
NATIONAL BURNS CENTRE, Airoli, Navi Mumbai