Prize Fund Carine VYGHEN Patrick Biston and the team of ICU CHU Charleroi Brussels - January 25, 2011
AWARD CEREMONY OF THE 2010 'FUND FOR CARINE VYGHEN ORGAN DONATION - Museum of Medicine - Campus Erasme
Prize Fund Carine VYGHEN Patrick Biston and the team of ICU CHU Charleroi
(excerpt from speech by Nicolas VERLAINE husband Carine Vyghen and Chairman of the Fund)
Ladies and gentlemen let me also take this opportunity to launch a plea for developing organ donation in our country. For, despite a law rather well made and relatively good position of Belgium in the European hierarchy, it is clear that the first problem of organ transplantation is the shortage of organs itself .
Thanks to advances in medicine, organ transplantation has expanded considerably during the second half of the century last. And donate an organ is the most beautiful gesture of generosity and solidarity of a human being can do for another. Organ donation is a sacrifice that is necessary to give life to a patient in danger. The ceremony today is also an opportunity to celebrate this great chain of solidarity. But it is also an opportunity to focus on the obstacles and excuses too often used to oppose. Currently, the main cause of failure is a transplant rejection or complication is the absence of graft. Just take a look at the number of patients awaiting transplant recipients: more than 1300 people sometimes wait a long time. Many of them die (example: in 2009, 18 people waiting for a heart died and a dozen people die each day in Europe).
How come that there is no longer any shortage of transplants? How to convince?
paradox or ambiguity ...
I do not think I am right in saying that almost all patients agree to be grafted or if you prefer, almost none of the cons when it comes to transplant benefit . I think I can also say that if you ask the man in the street, it's a safe bet that it will be for the transplant if necessary. So how to explain that if we're all quite favorable for transplantation, too many families are still opposed to harvest the organs of a loved one. How can this ambiguity?
Carine looked like "tapping continuously on the nail! ". Indeed, among the solutions under consideration are mostly continuous stimulation of this type of donation. This stimulation occurs through hundreds of actions every year by the associations, the various transplant services in hospitals and by public authorities.
There are of course the inevitable "World Day for Organ Donation" and "European Day of Organ Donation." But above all these events that for years now trying to capture public attention and media to proclaim loudly the urgency to make representations to the municipal authorities so that his wish be recorded in the national registry.
In our case, we bring our little stone building. Thus, among our many projects and actions, I would be remiss not to mention also the issue of a Annual Award, the organization since last year, a symposium also annual collaboration with the cities and municipalities, held within 2 years of a grand gala our sponsor comedian André Lamy and the 5 th anniversary of our association we want to bring Fund Summit ! The idea is to get several cords of graft on one of the peaks of Mont Blanc and why not the roof of Europe. This project should be done in collaboration with the Erasmus Hospital and the Compagnie des Guides de Chamonix.
I will finish as last year delivering you some figures:
112 458 people are now registered as organ donors while refusing clearly marked tendency to decline (189 155). In 2010, however, "only" 263 organ donors were registered.
In 2010, 403 kidneys, 210 livers, 43 pancreas, 68 heart and 114 lung have saved 838 lives.
Ladies and gentlemen, thank you for your presence, your support and your attention.
Brussels, 25 January 2011
Nicolas VERLAINE,
Chairman of the "Fund Carine Vyghen"
0475/26 31 36
Prize Fund Carine VYGHEN Patrick Biston and the team of ICU CHU Charleroi
Head of Department of Intensive Care at the University Hospital of Charleroi, Dr. Biston is the second winner of the "Fund Carine Vyghen" (1). The award, annual is intended to promote the objectives of the Fund's crowning work, or projects done in the field of organ transplantation in its various aspects.
L e 28 December 2007, died unexpectedly Carine Vyghen a ruptured brain aneurysm at age 49 years . Former student of the ULB, a journalist with the Agence Belga, deputy mayor of the City of Brussels, Brussels MP, and secular humanist believes, his name is perpetuated through the association "Carine Vyghen Fund for the donation of Bodies ". Created by her husband, daughters and relatives, it aims to foster among public awareness of organ, tissue and blood or bone marrow. His first mission is to inform. The Fund would also help the donor families. And encourage researchers and physicians in creating this award.
Patrick Biston, Anne Joosten, Michel Daune and the entire team of ICU CHU Charleroi are thus rewarded for creating and developing a structure to promote organ donation. The established structure has the distinction of addressing the issue of organ donation in a comprehensive manner, including sensitization of patients and their families but also the various medical teams involved in these activities. Since 2008, the proposed service has also established a program of sampling patients in a state of cardiac death, " donor heart not beating," designed to allow the removal of certain organs in patients with major brain damage and irreversible but not meeting the criteria established de mort cérébrale. Ceci, en étroite collaboration avec l’Hôpital Universitaire Erasme, leur Centre de Référence.
L’ensemble de ces efforts et les résultats obtenus s’inscrivent résolument dans les objectifs poursuivis par le « Fonds Carine Vyghen ».
Le don d’organe au sein du service des Soins Intensifs du CHU de Charleroi
La transplantation remains in 2010, a treatment necessary for the survival of many patients with organ failure.
However, despite efforts in this area, offering for graft remains well below demand.
1. History
In 1993, a study team conducted within the intensive care unit of Civil Hospital of Charleroi, then consisting of 11 beds, has led to the finding that in our Most brain-dead patients did not have a care to guide them towards a donation procedure.
The main reasons were:
* Lack of motivation of the team.
* His lack of experience in approaching families.
* Insufficient resources, particularly human.
* Difficulties to ask, in an emergency, the diagnosis of brain death.
Led by Dr. Michel Daune, Manager, and Mrs. Anne Joosten, ICU nurse, was put in place a specific team, for 24 h at 24 and 365 days year, the detection and management of brain-dead patients and their families.
With the support of Hospital Directions and CPAS, the organizing power of the time, funding has been spent, which can still, to ensure sustainability.
the liking of many hospital mergers that since 1995 we have known, the activity was extended to cover, in 2010, the 36 intensive care beds that is today, CHU Charleroi (www.chu-charleroi.be)
The current cell is integrated into the intensive care unit, coordination is ensured by Anne Joosten up to a 1 / 2 FTE Medical supervision is the responsibility of intensivists service, present 24/24 ..
A multidisciplinary team care callable, at any time allows, to strengthen health care teams, where a sampling procedure is considered.
This, in close collaboration with the Erasmus University Hospital, our Reference Center.
Evolution considerable part of medical and nursing staff in recent years, coupled with increasing difficulties faced by all teams in intensive care in no way altered the enthusiasm and dynamism of this team, which continues to engage wholeheartedly in his mission at the institutional level, but also in thinking and organization of organ donation, be it regionally, nationally and even internationally.
2. Reality of donation activity
Since 1993, 347 organs were removed within our control. The annual distribution of donors referred samples: overall, until 2007, number of patients referred (between 15 and 35 per year) and sampled (5-10 per year) remained stable.
For cons, the evolution of intensive care and surgical techniques, has dramatically altered the demographics of the donors.
Thus in 2008, our department has implemented a program to donate to "non-beating heart, for patients with major brain damage and irreversible but that will never go in brain death.
This procedure is offered to the family, after de-escalation therapy decided collegially, and is a stop life support in the operating room, followed by a sample taken from cardiac arrest.
Since 2008, it is in our country, causing 15% of transplants.
the scale of our service, it has provided since 2008, 12 kidney, 4 liver, 2 lung and numerous tissue samples.
Please note that all our patients in coma postanoxic representing the target group of programs non-heart-beating charges were refuted by our Reference Center.
3. activity awareness for organ donation
We provide many conferences for health professionals, both within and outside our institution. Awareness campaigns for the general public either at events sports, or within the "Services Clubs" in the region, will result in many entries in the national registry. There can be no question of the list here.
By cons, other events were organized or supported by our team:
* Anne Joosten actively involved for many years the group coordinators of the Belgian Society of Transplantation (BTS)
* In 2008, Dr. Daune was awarded the title "Carolo year "Quickness and by Southern Media Group, which rewards the person who participated in the most positive image of the city of Charleroi.
* The service is actively involved in departmental "Gift", identify all deaths in intensive care units and analyzing the causes of failure to recognize potential donors.
* Anne Joosten and Dr. Marecaux, provide training for nurses in intensive care in the Haute Ecole Provinciale du Hainaut in Mons Condorcet.
* Chaired by Dr. Patrick Biston, the Belgian Society of Intensive Care held in 2006 in Charleroi its Spring Congress on the topic of organ donation.
* In March 2010, our team organized on the site of the Bois du Cazier, the Mecca of remembrance, an exhibition tracing the history of organ donation in the ULB, coupled conferences awareness to the general public who have been very successful. It was an opportunity to hold a prestigious scientific conference that brought together teams of the CHU Hospital and Erasmus on the theme of taking non-heart-beating.
* A month later, in April 2010, Michel Drygalski (also nominated for the title of Carolo year), took from Charleroi, for a walking tour of more than 6000 kms , who led on the paths of St. Jacques de Compostela, and in many European countries, wearing a T-shirt with our team, and distributing throughout the path of thousands of documents awareness about organ donation. This journey, relayed on the site http://chudondorganes.blogspot.com and has wanted the symbol of transplants performed in Europe at the start of an act of generosity initiated at the heart of our city, has received extensive media coverage up to and including the return of Mr. Drygalski in Charleroi last October.
4. Prospects
Spurred by European Directives, our structure, a pioneer in the field, should be awarded official recognition through the Appointment of a Local Coordinator, function since 1993, we provide a spontaneous and autonomous.
This new hospital function, which should become general, will contribute to our initiative to consolidate the knowledge and skills in detecting and optimizing the management of donors potential organ.
5. Conclusions
For nearly 17 years, health care teams of the CHU of Charleroi, have invested in not counting the support donors and awareness for organ donation.
Beyond the actions taken and results obtained, we consider it essential to continue this fight.
Therefore, more than a culmination, the Prize Fund Carine Vyghen "represents an opportunity for us to present our experience, unique in Belgium outside of academic centers, but also a great encouragement to continue and develop our expertise, both at our institution, but also within the University network Libre de Bruxelles.
(1) The 2009 Prize was awarded to Dr. Valerio LUCIDI, Head of Clinic Assistant in the Surgical Clinic of Abdominal Transplantation, Department of Digestive Surgery Hospital Erasme (ULB), sharing responsibility for the program for liver transplantation and hepatobiliary surgery. Dr. Lucidi had been rewarded for his research project on structural changes in the liver parenchyma (liver tissue) involved in the early phase after transplantation using a new imaging technique of resonance scattering magnétique nucléaire.
REFERENCES
1. BISTON P, Joosten A, Daune M, Intensive care unit, CHU Charleroi – Charleroi Belgium Non-Heart Beating Donors Program implantation in a Non-Transplant Center : A Preliminary Report. Intensive Care Medicine, 2009;35(s):s26
2. Biston P. , Joosten A , Daune M , Intensive care unit, CHU Charleroi- Charleroi Belgium Non-Heart Beating Donors Program Implantation in a Non Transplant Center: A Preliminary Report. Spring Meeting Belgian Society of Intensive Care medicine Liège June 2009
RENSEIGNEMENTS COMPLEMENTAIRES
Nicolas VERLAINE, Président du « Fonds Carine Vyghen » :
fonds-carine.vyghen@scarlet.be ; 0475/26 31 36
Prof. Jacques BROTCHI, Président du Jury scientifique du « Fonds Carine Vyghen " Jacques.Brotchi @ erasme.ulb.ac.be
Prof. Vincent DONCKIER, Secretary of the Jury "Fund Carine Vyghen"
Vincent.Donckier @ erasme.ulb.ac.be
The Critical Care University Hospital Charleroi:
Dr. Patrick Biston:
Critical Care
CHU Charleroi
Zoe Drion Boulevard, 1
6000 Charleroi, Belgium
T: +32 (0) 71 92.06.62 Patrick Biston and the team of ICU CHU Charleroi
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