2.1. The determination and classification of DCD

International classification of cardiac death organ donation is mainly based on the Maastricht standard established in 1995. In view of the immature conditions of legislation on brain death in our country, our country has formulated the DCD classification standard of China according to China's national conditions so that the combination of "brain death" and "cardiac death" is well applied, in which way can also avoid the misunderstanding in our country's cultural identity and make the donation procedure comply with the law. In 2011, the Ministry of Health issued

Figure 1. The structural chart of Chinese human organ donation system [11].

"Notice of the General Office of the Ministry of Health on Initiating Cardiac Death Donor Organ Transplantation" and proposed "China Classification Criteria" and related definitions:


Figure 2. The process chart of Chinese human organ donation work [11].

Current Situation of Organ Donation in China http://dx.doi.org/10.5772/intechopen.74711 109

Figure 2. The process chart of Chinese human organ donation work [11].

"Notice of the General Office of the Ministry of Health on Initiating Cardiac Death Donor Organ

1. Definition of DCD: DCD refers to the organ donation after the citizen's death. In the past, it

2. DCD classification: Currently, the DCD classification standard as defined by the 1995 Maastricht International Conference in Holland is adopted internationally. According to China's national conditions combined with internationally accepted standards, in February 2011, the

Transplantation" and proposed "China Classification Criteria" and related definitions:

was also called non-heart beating donation (NHBD)

Figure 1. The structural chart of Chinese human organ donation system [11].

108 Organ Donation and Transplantation - Current Status and Future Challenges

China Human Organ Transplantation Technology Clinical Application Committee passed and announced the Chinese human organ donation classification standers, that is, the following three categories:

demanding to carry our organ donation work in the whole country this year [18]. As of August 14, 2014, 169 units completed 2107 human donations and 5787 organs were donated, saving the

Current Situation of Organ Donation in China http://dx.doi.org/10.5772/intechopen.74711 111

On August 1, 2012, the Red Cross Society of China and the Ministry of Health published the "Opinion on Further Promoting human organ donation work (Zhonghong Zi, No. 39)," officially announcing the organ donation process after the death of Chinese citizens. The main contents include enrollment registration, donation evaluation, donation confirmation, organ acquisition, organ distribution, body processing, memory, humanitarian assistance, and so on

3. Organ donation work procedure after Chinese citizens' death

lives of more than 5000 patients by transplants [19].

DCD organ procurement process (Figures 4–7).

Figure 3. The process chart of Chinese DCD work [11].

(Figure 3).

China Category I (C-I): This includes internationally standardized donation after brain death (DBD), that is, brain death cases. After rigorous medical examination, the indicators of potential donors are in line with the latest international and current domestic brain death standards (China Journal of Cerebrovascular Diseases, 2009 Volume 6, Issue 4), by the Ministry of Health commissioned by the agency-certified brain death experts who clearly identified it as brain death. Family members also come under this category, who fully understand the situation and choose to stop the treatment and donate organs, at the same time, having obtained the approval and support from the hospital and relevant leading departments.

China Category II (C-II): Internationally standardized cardiac death organ donation (DCD) includes the I–III case of the Maastricht standard classification.

China Category III (C-III): This includes donation after brain death awaiting cardiac death (DBCD). Similar to Maastricht's standard class IV, it is a controlled type and meets the diagnostic criteria for brain death. Since the brain death law has not yet been established, and family members cannot accept donations of organs under cardiac beating, donations should be made according to the DCD procedure, that is, life support should be removed, and donations should be made after cardiac arrest. The C-III is in line with China National conditions [14].
