Organ Recovery from an 84-Year-Old Donor: A Case Study

1997 ◽  
Vol 7 (4) ◽  
pp. 211-213
Author(s):  
Wendy Valerius ◽  
David D Lewis
Keyword(s):  
Organ Procurement ◽  
Donor Organ ◽  
Successful Recovery ◽  
Organ Procurement Organizations ◽  
Organ Recovery ◽  
Age Limit ◽  
Brain Dead ◽  
Old Donor ◽  
Financial Issues

To help meet the increasing need for transplantable organs, organ procurement organizations should consider evaluating all brain-dead patients, regardless of the upper age limit. This article outlines the successful recovery and transplantation of the liver of an 84-year-old donor. Organ placement and financial issues involved with the case are also discussed.

One Center's Experience with Lowering Medical Supply Costs in the Operating Room

1997 ◽  
Vol 7 (4) ◽  
pp. 199-201
Author(s):  
Kristina Koltko
Keyword(s):  
Operating Room ◽  
Average Cost ◽  
Organ Procurement ◽  
Cost Savings ◽  
Cost Comparison ◽  
Medical Supply ◽  
Organ Procurement Organizations ◽  
Organ Recovery ◽  
Supply Costs ◽  
Price Quotes

The purpose of this study was to assess the possibility of lowering costs to organ procurement organizations by purchasing a custom medical supply pack for use in the operating room. Six hospitals in the organ procurement organization's service area were selected for a cost comparison report on selected medical supply items: 37 items were selected for review. A retrospective review of the itemized hospital bills from recent organ recovery cases at each hospital was completed. A medical supply company was contacted for price quotes on selected items for the supply pack. The price quote from the medical supply company totaled $220.30. The average cost of the items selected from the six hospitals was $822.65. The average cost savings per organ recovery case was calculated at $602.35. Based on an estimated 80 organ donors per year, organ procurement organizations could save as much as $48,188 annually.

scholarly journals Management of the Pediatric Organ Donor

2019 ◽  
Vol 24 (4) ◽  
pp. 276-289
Author(s):  
Elizabeth J. Beckman
Keyword(s):  
Organ Procurement ◽  
Hormone Replacement ◽  
Organ Donor ◽  
Therapeutic Strategies ◽  
Organ Function ◽  
Hemodynamic Support ◽  
Organ Procurement Organizations ◽  
Minimal Damage ◽  
Organ Recovery ◽  
Death Determination

Management of the pediatric organ donor necessitates understanding the physiologic changes that occur preceding and after death determination. Recognizing these changes allows application of the therapeutic strategies designed to optimize hemodynamics and metabolic state to allow for preservation of end-organ function for maximal organ recovery and minimal damage to the donor grafts. The pediatric pharmacist serves as the medication expert and may collaborate with the organ procurement organizations for provision of pharmacologic hemodynamic support, hormone replacement therapy, antimicrobials, and nutrition for the pediatric organ donor.

scholarly journals Double renal vein Anastomosis for rare venous anomaly: A method to achieve good venous outflow in the transplanted kidney

2021 ◽  
Vol 2 (3) ◽  
pp. 46-49
Author(s):  
Ahmad Mirza ◽  
◽  
Imran Gani ◽  
Ravi Mallavarapu ◽  
Laura Mulloy ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Renal Vein ◽  
Inferior Vena ◽  
Organ Procurement ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Anti Platelet Therapy ◽  
Abdominal Organs ◽  
Successful Recovery ◽  
Old Donor

Multi-organ procurement was performed on a 48-year-old donor after the patient was declared brain dead. A standard approach was performed for two dissections of abdominal organs. During the cold phase of dissection, an additional left sided retro-aortic vein was identified. The second vein had separate opening to the inferior vena cava in addition to the normal positioned pre-aortic left renal vein. Both veins were divided close to the origin from the inferior vena cava. During the back table preparation, it was noticed that same volume of preservative fluid was identified to be draining from both veins. Both veins were isolated and anastomosed separately on the 61-year-old recipient. Patient was initiated on anti-platelet therapy and made successful recovery.

Thirty Hours from Referral to Cross-Clamp: A Case Study in Organ Procurement

1996 ◽  
Vol 6 (2) ◽  
pp. 75-77
Author(s):  
David D Lewis ◽  
AnnaKay Vajentic ◽  
Kristine A Nelson
Keyword(s):  
Operating Room ◽  
Organ Procurement ◽  
Organ Donors ◽  
Donation Process ◽  
Organ Procurement Organizations ◽  
Management Issues

Families of potential organ donors might have requests that prolong the donation process. Organ procurement organizations therefore should be sensitive to these issues, or risk losing potential donors. This study focused on a case that in duration surpassed 30 hours from initial referral to cross-clamp in the operating room. This article examines the legal, family, and management issues involved in such a case.

Organ Recovery following Childbirth by a Brain-Dead Mother: A Case Report

1997 ◽  
Vol 7 (3) ◽  
pp. 103-105
Author(s):  
David D Lewis ◽  
Robin R Vidovich
Keyword(s):  
Case Report ◽  
Healthcare Professionals ◽  
Healthy Infant ◽  
Actual Case ◽  
Organ Recovery ◽  
Nursing Literature ◽  
Brain Dead ◽  
Rule Out

Little information is available in the medical and nursing literature concerning organ recovery from brain-dead, pregnant individuals. Many healthcare professionals might rule out such patients as potential donors, especially if childbirth is a possibility. This article presents an actual case study in which the birth of a healthy infant and recovery of organs from the mother were successful. It also reviews the available literature and discusses factors related to organ placement.

Organ recovery from an 84-year-old donor: a case study

1997 ◽  
Vol 7 (4) ◽  
pp. 211-213 ◽  
Author(s):  
Wendy Valerius ◽  
David Lewis
Keyword(s):  
Organ Recovery ◽  
Old Donor

scholarly journals Perioperatives Management der postmortalen Organspende

2021 ◽  
Author(s):  
Jan Sönke Englbrecht ◽  
Christian Lanckohr ◽  
Christian Ertmer ◽  
Alexander Zarbock
Keyword(s):  
Organ Procurement ◽  
Perioperatives Management ◽  
Randomisierte Studien ◽  
Ethical Considerations ◽  
Donor Organ ◽  
Donor Management ◽  
Evidenzbasierte Empfehlungen ◽  
Ethische Aspekte ◽  
Brain Dead ◽  
Brain Dead Donor

Zusammenfassung Hintergrund Die Anzahl postmortal gespendeter Organe ist in Deutschland weit geringer als der Bedarf. Dies unterstreicht die Wichtigkeit einer optimalen Versorgung während des gesamten Prozesses der Organspende. Fragestellung Es existieren internationale Leitlinien und nationale Empfehlungen zu intensivmedizinischen organprotektiven Maßnahmen beim Organspender. Für das anästhesiologische Management fehlen evidenzbasierte Empfehlungen. Ziel dieser Übersichtsarbeit ist es, anhand der vorhandenen Evidenz die pathophysiologischen Veränderungen des irreversiblen Hirnfunktionsausfalls zu rekapitulieren und sich kritisch mit den empfohlenen Behandlungsstrategien und therapeutischen Zielgrößen auseinanderzusetzen. Auch auf ethische Aspekte der Betreuung des postmortalen Organspenders wird eingegangen. Methode Diese Übersichtsarbeit basiert auf einer selektiven Literaturrecherche in PubMed (Suchwörter: „brain dead donor“, „organ procurement“, „organ protective therapy“, „donor preconditioning“, „perioperative donor management“, „ethical considerations of brain dead donor“). Internationale Leitlinien und nationale Empfehlungen wurden besonders berücksichtigt. Ergebnisse Insgesamt ist die Evidenz für optimale intensivmedizinische und perioperative organprotektive Maßnahmen beim postmortalen Organspender sehr gering. Nationale und internationale Empfehlungen zu Zielwerten und medikamentösen Behandlungsstrategien unterscheiden sich teilweise erheblich: kontrollierte randomisierte Studien fehlen. Der Stellenwert einer Narkose zur Explantation bleibt sowohl unter pathophysiologischen Gesichtspunkten als auch aus ethischer Sicht ungeklärt. Schlussfolgerungen Die Kenntnisse über die pathophysiologischen Prozesse im Rahmen des irreversiblen Hirnfunktionsausfalls und die organprotektiven Maßnahmen sind ebenso Grundvoraussetzung wie die ethische Auseinandersetzung mit dem Thema postmortale Organspende. Nur dann kann das Behandlungsteam in dieser herausfordernden Situation sowohl dem Organempfänger als auch dem Organspender und seinen Angehörigen gerecht werden.

scholarly journals The Perfuse Dual Chamber Stent Improves Donor Organ Recovery in a Porcine Model

2020 ◽  
Vol 1 ◽  
pp. 252
Author(s):  
Bryan W. Tillman ◽  
Catherine Go ◽  
Brian Frenz ◽  
Moataz Elsisy ◽  
Youngjae Chun
Keyword(s):  
Porcine Model ◽  
Donor Organ ◽  
Dual Chamber ◽  
Organ Recovery

An Adapted Process and Organ Procurement Perspective on Heart Retransplantation for a Healthy Heart’s Third Life

2021 ◽  
pp. 152692482110246
Author(s):  
Darryl C. Nethercot ◽  
Mita Shah ◽  
Lisa M. Stocks ◽  
Jeffrey M. Trageser ◽  
Victor Pretorius ◽  
...  
Keyword(s):  
United States ◽  
Organ Procurement ◽  
The United States ◽  
Matching Process ◽  
Organ Procurement Organizations ◽  
Third Person ◽  
Adapted Process ◽  
United Network ◽  
Transplanted Hearts

As organ procurement organizations nationwide see an increased opportunity to retransplant already transplanted hearts, we would like to share the overview and process of our 2 successful cases. Heart retransplantation increased our cardiac placement rates by 2.64% and 2% in 2015 and 2019, respectively. Spread across a nation that sees over 3500 heart placements annually, a 2% increase would be substantial. Since 2009, our cases stand as the only documented heart retransplantations in the United States. However, United Network for Organ Sharing data shows that potential exists. From a facilitation perspective, we have developed a protocol to ease the matching process. From a surgical perspective, these cases had no complications and saved 2 lives, with each heart now beating in a third person. We hope that by sharing our process and success, we can familiarize fellow organ procurement organizations and transplant communities with this viable opportunity.

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