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