Authors
Giuseppe Citerio, Marcelo Cypel, Geoff J Dobb, Beatriz Dominguez-Gil, Jennifer A Frontera, David M Greer, Alex R Manara, Sam D Shemie, Martin Smith, Franco Valenza, Eelco FM Wijdicks
Publication date
2016/3
Source
Intensive Care Medicine
Volume
42
Pages
305-315
Publisher
Springer Berlin Heidelberg
Description
Purpose
The shortage of organs for transplantation is an important medical and societal problem because transplantation is often the best therapeutic option for end-stage organ failure.
Methods
We review the potential deceased organ donation pathways in adult ICU practice, i.e. donation after brain death (DBD) and controlled donation after circulatory death (cDCD), which follows the planned withdrawal of life-sustaining treatments (WLST) and subsequent confirmation of death using cardiorespiratory criteria.
Results
Strategies in the ICU to increase the number of organs available for transplantation are discussed. These include timely identification of the potential organ donor, optimization of the brain-dead donor by aggressive management of the physiological consequence of brain death, implementation of cDCD …
Scholar articles
G Citerio, M Cypel, GJ Dobb, B Dominguez-Gil… - Intensive Care Medicine, 2016