An Update on ICU Management of the Potential Organ Donor

Because the supply of cadaveric organ donors is limited and their ICU management is complex, a multidisciplinary, well-coordinated, and institutionally supported approach to management is essential to ensure the maintenance of the current supply and to increase the future supply of organs and tissues that are suitable for transplantation. The potential organ donor is at high risk for instability as a direct consequence of the loss of physiologic homeostatic mechanisms that are dependent on functioning of the central nervous system. The keys to successful ICU management of the potential organ donor include a team approach that is focused on the anticipation of complications, appropriate physiologic monitoring, aggressive life support, with frequent reassessment and titration of therapy.

Download Full-text

An Update on ICU Management of the Potential Organ Donor

Yearbook of Intensive Care and Emergency Medicine - Yearbook of Intensive Care and Emergency Medicine 2010 ◽

10.1007/978-3-642-10286-8_51 ◽

2010 ◽

pp. 547-559

Author(s):

M. T. Keegan ◽

K. E. Wood ◽

D. B. Coursin

Keyword(s):

Organ Donor ◽

Potential Organ Donor ◽

Icu Management

Download Full-text

Transplant Coordinators and Communication With Potential Organ Donor Migrant Families in France: An Exploratory Qualitative Study

Transplantation Proceedings ◽

10.1016/j.transproceed.2008.12.009 ◽

2009 ◽

Vol 41 (2) ◽

pp. 631-633 ◽

Cited By ~ 2

Author(s):

G. Lesoeurs ◽

J. Cossart ◽

C. Olivier ◽

T. Ferradji

Keyword(s):

Qualitative Study ◽

Organ Donor ◽

Potential Organ Donor ◽

Migrant Families

Download Full-text

Real-Time Healthcare Intelligence in Organ Transplantation

Next-Generation Mobile and Pervasive Healthcare Solutions - Advances in Medical Technologies and Clinical Practice ◽

10.4018/978-1-5225-2851-7.ch009 ◽

2018 ◽

pp. 128-152

Author(s):

Bruno Fernandes ◽

Cecília Coimbra ◽

António Abelha

Keyword(s):

Decision Making ◽

Organ Transplantation ◽

Organ Donor ◽

Decision Making Process ◽

Organ Donors ◽

Potential Organ Donor ◽

Critical Areas ◽

Deceased Donors ◽

End Stage ◽

Donor Criteria

Organ transplantation is the best and often the only treatment for patients with end-stage organ failure. However, the universal shortage of deceased donors results in a worrying situation that must be addressed. Brain dead donors constitute the largest share of organ donors, but identifying a patient that may progress to brain death can be a complex task. Therefore, the urgent need of intelligent solutions to support the decision-making process is crucial in critical areas as the organ transplantation is. This work aims at acquiring knowledge on the potential organ donor criteria for further detection and implementing a platform to assist the process of identification of potential organ donors at Centro Hospitalar do Porto – Hospital de Santo António. The developed system is currently implemented and displays a steady and competent behavior providing consequently a way to have more control of the information needed for the decision-making process

Download Full-text

Hormonal resuscitation therapy in the management of the brain-dead potential organ donor

International Journal of Surgery ◽

10.1016/j.ijsu.2006.11.007 ◽

2008 ◽

Vol 6 (1) ◽

pp. 3-4 ◽

Cited By ~ 11

Author(s):

David K.C. Cooper

Keyword(s):

Organ Donor ◽

Potential Organ Donor ◽

Brain Dead ◽

The Brain

Download Full-text

Management of the potential organ donor

Paediatrics and Child Health ◽

10.1016/j.paed.2010.09.002 ◽

2011 ◽

Vol 21 (4) ◽

pp. 182-186 ◽

Cited By ~ 3

Author(s):

M. Smith ◽

H. Vyas

Keyword(s):

Organ Donor ◽

Potential Organ Donor

Download Full-text

Brain Death and Resuscitation of the Organ Donor

10.2310/7ccsp.8029 ◽

2017 ◽

Author(s):

Kasra Khatibi ◽

Chitra Venkatasubramanian

Keyword(s):

Intensive Care Unit ◽

Critical Care ◽

Brain Death ◽

Organ Donor ◽

Surgical Intensive Care Unit ◽

Surgical Intensive Care ◽

Potential Organ Donor ◽

Brain Dead ◽

Donor After Brain Death ◽

Apnea Testing

When is a patient brain dead? Under what scenarios in the surgical intensive care unit is brain death a possibility? Who can declare brain death and how? What are the steps after brain death declaration? You will find answers to all of these and more in this review. We will walk you through the principles, prerequisites, and techniques of clinical brain death evaluation using checklists and videos. The role and interpretation of ancillary testing and pitfalls are also discussed. New in this section is a description of the techniques that can be adapted when a patient is on extracorporeal membrane oxygenation. In addition, we have included a section on how to communicate effectively (i.e., what phrases to use) with families while discussing brain death and thereby avoid conflicts. We conclude with a detailed section on the physiology and critical care of the potential organ donor after brain death. This review contains 2 videos, 8 figures, 3 tables and 21 references Key words: Brain death, Apnea testing, ECMO, Organ donation

Download Full-text