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Question Time - Afternoon Session
Q |
Question to David Talbot from Neil McCauley,
Exeter KPA:
David's talk was entitled 'Non heart beating donors, an untapped resource'; well there is another untapped resource, which at one time was providing a lot of extra kidneys in the area for where I come from. That was known as elective ventilation. Now this has been sidelined for some spurious ethical reasons, but I wonder if pressure could be brought perhaps as part of the kidney structure plan that has been brought out to re-introduce elective ventilation, which is a very good way, as you will know yourself, for providing additional donor kidneys. Perhaps you would like to comment on that? |
A |
David Talbot's reply: I think UKTSA were actually looking at this again, to actually to see the extent of potential donors that they could actually utilise in patients that have had strokes. One of the big problems that arise from the Exeter approach is that you could actually change the course of somebody's illness by ventilating them. So if you had somebody with a stroke who was likely to die, to actually admit them onto an intensive care unit with the view of actually using them as a donor, may actually mean that you prolong that persons life, and make them not suitable for a donor, and you end up with a patient who is quite severely brain damaged. So it does open a lot of ethical areas, and that was one of the reasons why the whole programme was stopped. I am not sure if the UKT are looking at it? Probably not, I think their views would be open at present. |
Q |
Question: Ken Tupling, NKF executive, and
representative to the BTS Ethics Committee
I did raise this particular point at our meeting two months ago and the BTS Committee agreed to look at it. |
A |
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Q |
Question: John Sager, Lancashire
& South KPA.
I would just like to ask Dr Richards about the satellite units. When you first started having them you put them all on business parks and the later ones you said you would put into hospitals. Was there a reason for that, and do you think there is any benefit from it? |
A |
Dr Richards Reply: The reason the last two have gone on to hospital sites is just because of the availability of the site more than anything else. So I do not think there is any advantage in having dialysis units in hospitals at all. If we can dialyse people at home without being in hospital, there is no reason you can't dialysise them in a business park, |
Q |
Question: David Benoliel, Oxford KPA. Question to Dr Richards about the quality systems. You mentioned that quality assurance systems have been introduced into the satellite units. Have you extended that same system into your own base unit in the hospital? |
A |
Reply Dr Richards: Yes we have. We suddenly realised that was something we were not doing in the hospital, and so we introduced that back into the hospital, having seen the benefits within satellite units. |
Q |
Question: Gemma Benoliel, Oxford KPA. To Jackie Campbell You suggested I think in your talk that APD is superior to CAPD. If that is so, why isn't everyone on APD? |
A |
Reply Jackie Campbell: I'm sorry, I did not mean to give the impression that APD was superior to CAPD. APD is more flexible, and gives better treatment to some patients. CAPD is still more suitable to the low transporters group patients. |
Q |
Question: Chris Roberts, Lister Kidney Foundation. My partner and I are of the opinion that this is quite a valid question; I am not quite sure who to address this to though. How much work is going on into prevention and education into keeping healthy kidneys, bearing in mind that statistically it was mentioned earlier that there are more and more patients needing dialysis? I do feel that maybe that perhaps a survey. I know there a number of reasons, diet being one of them, increase in population being another, but maybe it may be useful to do a survey at some stage? |
A |
Reply: Just to say there is quite a lot of work beginning. |
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Fred
Tring - Closing Speech (Summary) or (Full Report)
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