21 May 2009
Ann Transplant 2009; 14(1): 19-19 :: ID: 880268
Donor management seems to be the most underestimated field in transplantology. Goals and principles of care of the organ donors remain unclear for the large population of intensive care unit employees. In Poland less than 50 anesthetists manages donors more than once a year. Principle of care is quite simple and easy to remember, maintain all vital parameters within physiological range. It needs attention and care, starting with the proper nursing care ending with advanced hemodynamic management and hormonal substitution. Proper donor management and compilation of good blood pressure and cardiac output, provides good organ condition and maximize organ availability. Aggressive management of organ donors is an early approach to prevention of hypotension using proper inotropic support and good ï¬‚uid balance under surveillance of pulmonary artery catheter, hormonal substitution for maintaining electrolyte and metabolic balance, but first of all aggressive management is a complete change in mental approach to the donor management. There is not enough donors for the passive "old" standards of care, active and aggressive standard of care is the one among all, which can maximize the chance for recipient for being transplanted in present donor shortage situation.
Keywords: Organ donors
Most Viewed Current Articles
26 Jan 2022 : Review articleRecurrence of Hepatocellular Carcinoma After Liver Transplantation: Risk Factors and Predictive Models
Ann Transplant 2022; 27:e934924
29 Dec 2021 : Original articleEfficacy and Safety of Tacrolimus-Based Maintenance Regimens in De Novo Kidney Transplant Recipients: A Sys...
Ann Transplant 2021; 26:e933588
24 Jul 2020 : Review articleKidney Transplantation in the Times of COVID-19 – A Literature Review
Ann Transplant 2020; 25:e925755