Anaesthetic management of the brain dead for organ donation.
Journal Article (Journal Article;Review)
An increasing number of anaesthetists is being called upon to manage organ donors during organ retrieval procedures. We briefly describe the technical aspects of the surgical procedure together with a guide to the anaesthetic management. The aims of the latter may be summarized as the "Rule of 100": systolic blood pressure greater than 100 mmHg, urine output greater than 100 ml.hr-1, PaO2 greater than 100 mmHg, haemoglobin concentration greater than 100 g.L-1. Common management problems (hypotension, arrhythmias, diabetes insipidus, oliguria, and coagulopathy) are discussed in detail. The intraoperative management of the brain-dead organ donor provides the anaesthetist with the challenge of a major surgical procedure in a subject with important physiological derangements.
Full Text
Duke Authors
Cited Authors
- Gelb, AW; Robertson, KM
Published Date
- October 1990
Published In
Volume / Issue
- 37 / 7
Start / End Page
- 806 - 812
PubMed ID
- 2225301
International Standard Serial Number (ISSN)
- 0832-610X
Digital Object Identifier (DOI)
- 10.1007/BF03006543
Language
- eng
Conference Location
- United States