Management of variations in blood pressure during care of organ donors.
The organ procurement coordinator commonly must correct and maintain the arterial blood pressure during donor care. This article reviews considerations in the accurate measurement of the blood pressure, causes of hypertension and hypotension, and desirable standards to use in order to provide adequate organ perfusion. Recommendations are presented for treatment of hypotension in a titrated response of intravenous fluids, inotropic support, and vasopressor infusion to maintain the mean arterial pressure above 65 mm Hg. Collaborative interaction between the coordinator and physician consultant remains important throughout management of blood pressure changes during donor care.
Powner
D J
DJ
Rutland Regional Medical Center, Vt., USA.
Darby
J M
JM
D000465:Algorithms; D002316:Cardiotonic Agents / Q000627:therapeutic use*; D003663:Decision Trees; D005440:Fluid Therapy / Q000379:methods*; D006801:Humans; D007022:Hypotension / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000379:methods*; D014662:Vasoconstrictor Agents / Q000627:therapeutic use*
D002316:Cardiotonic Agents; D014662:Vasoconstrictor Agents