Cut in IGL supply mobilizes transplant teams in state

each day transport

each day transport

Photo: Air Force Agency

IGL, the fluid used to move and protect organs for transplants, is lacking from the market and has been changed by medical teams

Photo: Air Force Agency

The lack of enter for manufacturing of IGL and import difficulties put the medical teams of Organ Procurement Organization (OPO) models in Rio Grande do Sul on alert.

ISLAND IGL is a compound of isothermal fluids based mostly on sodium and potassium used for the transport and preservation of organs harvested from donors for transplants.

Since the acquisition is made immediately by the well being establishments, hospitals in the hinterland which might be depending on IGL could also be affected by the disaster if the supply, which happens all through the nation, doesn’t normalize.

The lacking product available on the market is provided by IGL Latin America, which has knowledgeable OPOs that it’s experiencing difficulties importing IGL because of the pandemic.

The firm didn’t reply to requests for info. According to the medical teams, there was no supply of the product in July and the forecast could be that the supply will normalize from Monday eighth.

According to the Transplantation Center, given the supply points, the product was changed by custodiola substance that has the identical operate of preserving kidneys, liver and pancreas collected from donors recognized with mind dying and destined for transplants.

“Custodiol is a product imported from Germany and now we have by no means had any issues with its import,” says Mateus Biazus, biochemical pharmacist at Contatti Medical, which imports the product already utilized by coronary heart transplant teams.

emergency assembly

The resolution to interchange IGL fur custodiol was communicated to the National Transplant System after an emergency assembly between the state’s transplant middle and the kidney and liver transplant teams on July 28.

“We are lacking IGL nationally from the delay in imports. IGL is a liquid that comes from France and IGL Brasil is having bother importing resulting from an absence of product. We estimate that it’ll begin to normalize in the center of August, but it surely relies on the corporate and should undergo the National Health Surveillance Agency (Anvisa)”, explains Ivana Faccioli Pessato, head of OPO7 or OPO Cirúrgica, based mostly on the Institute of Cardiology.

“It is just not an inner drawback for us, nor an issue in the state, however a nationwide challenge that the corporate doesn’t have the product to ship”, he explains.

Doctor Fernanda Bonow, coordinator of OPO1, situated subsequent to Santa Casa de Porto Alegre and features a community of 24 hospitals in the state, says that the dearth of IGL “in no approach compromises” organ transplants and that the teams have already changed the product with out altering routines.


“The lack of IGL is worldwide. The producer doesn’t comply with the demand. Another one of many issues that arose in this post-pandemic”, explains physician Rogério Caruso, deputy coordinator of the transplant middle. “Until lately, earlier than the event and scale manufacturing of IGL, Custodiol was our choice when selecting preservation options, however IGL has introduced an advance in the time it could actually take between harvest and magnetization of transplanted organs. There isn’t any lack of high quality”, he says.

“Considering the scenario, we met and it was determined that till the normalization of the supply of IGL, the usage of custodiol, which is a liquid that has additionally been adopted in financing and has been extensively used in the previous. An extraordinarily viable and good various”, emphasizes Ivana.

The transplant middle confirms that there was no change in the routine of transplants in the state, however hospitals in the inside that use IGL and discover it troublesome to accumulate the choice product could also be affected if the scenario on the nationwide degree is just not resolved, admits physician Rafael Rosa, system coordinator in the state.

The buy of those inputs is made immediately by the well being establishments and the surgical OPO, which has a inventory of 30 kidneys per 30 days. Each catch makes use of as much as three liters of the isothermal answer – the worth is as much as 1 thousand R$ per litres.


From January to May this yr, 203 organ transplants have been carried out in the state: 134 kidneys, 53 livers, 10 lungs and 6 hearts. And 296 tissue transplants (cornea, sclera, bone, pores and skin).

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