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Brazilian guidelines for the management of brain-dead potential organ donors. The task force of the Associação de Medicina Intensiva Brasileira, Associação Brasileira de Transplantes de Órgãos, Brazilian Research in Critical Care Network, and the General Coordination of the National Transplant System.

Authors :
Westphal GA
Robinson CC
Cavalcanti AB
Gonçalves ARR
Guterres CM
Teixeira C
Stein C
Franke CA
Silva DBD
Pontes DFS
Nunes DSL
Abdala E
Dal-Pizzol F
Bozza FA
Machado FR
Andrade J
Cruz LN
Azevedo LCP
Machado MCV
Rosa RG
Manfro RC
Nothen RR
Lobo SM
Rech TH
Lisboa TC
Colpani V
Falavigna M
Source :
Revista Brasileira de terapia intensiva [Rev Bras Ter Intensiva] 2021 Jan-Mar; Vol. 33 (1), pp. 1-11.
Publication Year :
2021

Abstract

Objective: To contribute to updating the recommendations for brain-dead potential organ donor management.<br />Methods: A group of 27 experts, including intensivists, transplant coordinators, transplant surgeons, and epidemiologists, answered questions related to the following topics were divided into mechanical ventilation, hemodynamics, endocrine-metabolic management, infection, body temperature, blood transfusion, and checklists use. The outcomes considered were cardiac arrests, number of organs removed or transplanted as well as function / survival of transplanted organs. The quality of evidence of the recommendations was assessed using the Grading of Recommendations Assessment, Development, and Evaluation system to classify the recommendations.<br />Results: A total of 19 recommendations were drawn from the expert panel. Of these, 7 were classified as strong, 11 as weak and 1 was considered a good clinical practice.<br />Conclusion: Despite the agreement among panel members on most recommendations, the grade of recommendation was mostly weak.

Details

Language :
Portuguese; English
ISSN :
1982-4335
Volume :
33
Issue :
1
Database :
MEDLINE
Journal :
Revista Brasileira de terapia intensiva
Publication Type :
Academic Journal
Accession number :
33886849
Full Text :
https://doi.org/10.5935/0103-507X.20210001