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Deceased organ donors 

Deceased organ donors
Chapter:
Deceased organ donors
DOI:
10.1093/med/9780199215669.003.04
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date: 22 February 2020

Brainstem death 42

Testing for brainstem death 46

Deceased donation and the law 50

Medical exclusions to organ donation 52

ICU management of the potential donor 54

The surgery of organ donation 58

Donation after cardiac death 60

Ischaemic injury 64

Organ preservation 68

The majority of organs for transplantation are procured from heart-beating, brainstem-dead donors. These offer the opportunity to obtain organs perfused with oxygenated blood until the time of retrieval, with immediate cooling and infusion of preservation fluids, thus minimizing ischaemic injury. The concept of brainstem death has evolved over 50 years (see box), and current practice in the UK is presented below....

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