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Management of the brain-dead organ donor 

Management of the brain-dead organ donor
Chapter:
Management of the brain-dead organ donor
Author(s):

Kai Singbartl

DOI:
10.1093/med/9780199777709.003.0013
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date: 10 April 2020

Nearly 7% of transplant candidates in the United States diewhile on the waiting list. Use of marginal, high-risk donors and the extension ofcriteria for donation have attenuated the shortage to a small degree. In addition, several administrative and clinical measures, such as the institution of in-houseorgan procurement coordinators, have also been introduced to address thisproblem. These measures by themselves are insufficient to alleviatethe shortage of transplantable organs. Therefore, the accurate and carefulmanagement of brain-dead organ donors becomes of utmost importance in our attempts to further maximize the number of organs that can be retrieved fortransplantation and, the number of other recipient lives that can subsequentlybe saved. This chapter will discuss the management of brain-dead organ donors, and focus on the organization of donor management as well as medicalaspects, in particular hemodynamic and pulmonary management.

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