Guidelines for potential multiple organ donors (adult): part I. Overview and hemodynamic support.
نویسندگان
چکیده
There is a relative shortage of appropriate organs available for transplantation. The appropriate diagnosis of brain death, a suitable family approach and the maintenance of the deceased donor are fundamental in addressing this issue. The intensive care physician plays a key role in the maintenance of the deceased donor, thereby reducing losses and increasing the number of successful transplants.
منابع مشابه
Guidelines for potential multiple organ donors (adult): part II. Mechanical ventilation, endocrine metabolic management, hematological and infectious aspects.
The role of intensive care specialists in the maintenance of deceased potential donors is not restricted to hemodynamics. Appropriate endocrine-metabolic management is fundamental to maintaining energy support and hydroelectrolytic control, which cooperate for hemodynamic stability. Hematological changes are also important, especially considering the issues caused by inappropriate transfusions....
متن کاملGuidelines for potential multiple organ donors (adult). Part III: organ-specific recommendations.
Brain death (BD) alters the pathophysiology of patients and may damage the kidneys, the lungs, the heart and the liver. To obtain better quality transplant organs, intensive care physicians in charge of the maintenance of deceased donors should attentively monitor these organs. Careful hemodynamic, ventilatory and bronchial clearance management minimizes the loss of kidneys and lungs. The evalu...
متن کاملVentilatory and hemodynamic management of potential organ donors: an observational survey.
OBJECTIVE To determine the current standard ventilatory and cardiovascular management in potential organ donors. DESIGN Prospective, multiple-center, observational survey. SETTING A total of 15 intensive care units in 13 hospitals in Piedmont, Italy. PATIENTS A total of 34 brain-dead patients enrolled in 6 months. MEASUREMENTS AND MAIN RESULTS Demographics and reasons for lung transplan...
متن کاملSwiss Monitoring of Potential Organ Donors (SwissPOD): a prospective 12-month cohort study of all adult ICU deaths in Switzerland.
BACKGROUND The Swiss Monitoring of Potential Organ Donors (SwissPOD) was initiated to investigate the causes of the overall low organ donation rate in Switzerland. The objective of our study was an assessment of the donation after brain death (DBD) process in Swiss adult intensive care units (ICUs), and to provide an overview of the donation efficiency as well as of the reasons for non-donation...
متن کاملHemodynamic Factors Affecting the Suitability of the Donated Heart and Kidney for Transplantation
BACKGROUND Due to the loss of autonomic nervous system, precise control of the hemodynamic status in dead brain potential donors presents a clinical dilemma. In these patients, due to head trauma and cerebral edema, fluids administration is restricted. Moreover, the decreased central venous pressure may put the viability of the organs at risk. OBJECTIVE To investigate hemodynamic factors affe...
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ورودعنوان ژورنال:
- Revista Brasileira de terapia intensiva
دوره 23 3 شماره
صفحات -
تاریخ انتشار 2011