Anaesthetic management of the brain dead for organ donation.


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, 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

Pubmed Central ID

  • 2225301

International Standard Serial Number (ISSN)

  • 0832-610X

Digital Object Identifier (DOI)

  • 10.1007/BF03006543


  • eng

Conference Location

  • United States