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The role of anesthesiologists in organ donation

The role of anesthesiologists in organ donation

Authors :
Julius Balogh
Srikar Jonna
Geraldine Diaz
George W Williams
Marina Moguilevitch
Evan G Pivalizza
Source :
Transplantation Reports, Vol 7, Iss 4, Pp 100116- (2022)
Publication Year :
2022
Publisher :
Elsevier, 2022.

Abstract

With the continued deficit of available organs for transplantation, optimal care of the brain-dead and cardiac death donor is essential to optimize quality and quantity of precious organs. Anesthesiologists are a critical part of the perioperative surgical retrieval process, although individually, may rarely care for a donor. Prospective data to inform specific clinical practices is sparse although educational resources exist to guide anesthesiologists with ethical or clinical questions and protocols from intensive care units and organ procurement organizations serve as useful templates for maintenance of organ function. Pre-surgical resuscitation, optimization and homeostatic strategies should be continued into the operating room. Cautious titration of low dose anesthetic and analgesic agents may be required to blunt sympathetic and spinal reflexes but should not aggravate hypotension and muscle relaxation is recommended to facilitate surgical exposure. Anesthesiologists should be aware of procedural and pharmaceutical aspects of the donation process, including re-intubation of a deceased donor after death is confirmed when lung retrieval is planned.

Details

Language :
English
ISSN :
24519596
Volume :
7
Issue :
4
Database :
Directory of Open Access Journals
Journal :
Transplantation Reports
Publication Type :
Academic Journal
Accession number :
edsdoj.957b7dd8f66c43a292de6a03547dc5f6
Document Type :
article
Full Text :
https://doi.org/10.1016/j.tpr.2022.100116