An Analysis of the Process to Organ Donation in Brain-dead Patients.
- Author:
Mi Hae KIM
1
;
Soo Tae KIM
;
Samuel LEE
;
Ma Hae CHO
;
Kwon Jae LEE
;
Hyun CHOI
;
Young Joon YOON
Author Information
1. Organ Transplant Coordinator, Department of Surgery, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Brain death;
Organ procurement;
harvest;
Transplantation
- MeSH:
Anemia;
Biopsy;
Blood Transfusion;
Brain Death;
Critical Care;
Electric Countershock;
Female;
Heart;
Humans;
Hypernatremia;
Hypothermia;
Kidney;
Liver;
Male;
Middle Aged;
Organ Transplantation;
Tissue and Organ Procurement*;
Tissue Donors;
Transplantation;
Transplants
- From:The Journal of the Korean Society for Transplantation
1997;11(1):157-157
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Organ procurements were performed in 9 brain-dead patients at our hospital since 1995. They were 7 males and 2 females. The causes of brain death were trauma in 7 patients and CVA in 2 patients. When brain death was confirmed, hypernatremia over 145 mEq/L was showed in 6 and hypothermia in all. Blood transfusion was done in 6 patients for correction of anemia preoperatively. The time intervals from brain death confirmation to organ procurement were from 1 hour to 2 days. Multi-organ harvests were done in 4 patient, 60 year-old female and 2 patients who received the cardioversion before harvest were given up to procure liver and heart preoperatively. And 2 patients were not procured heart and liver because of pathologic findings of intraoperative frozen biopsy. Among 22 recipients, 1 kidney recipient died postoperatively. We conclude that the intensive care should be performed in the brain dead donor for multi-organ harvest and better results of organ transplantations. Beside the organ procurement and transplantation team, another intensive care team for brain dead donor should be composed if possible.
