Organ protective management of the brain-dead donor.
The adequate management of brain dead donors on an Intensive Care Unit (ICU) is one of the major key points for a successful transplantation of harvested organs. In addition to an invasive monitoring like in any other ICU patient these patients needs a meticulous attention to their hemodynamic. The early administration of desmopressin to treat diabetes insipidus, a differentiated use of fluid resuscitation and a distinct catecholamine support are special features of an appropriate basic treatment. The administration of corticoids has to be considered if a sufficient circulation can not be regained.
Saner
F H
FH
Universitätsklinikum Essen, Klinik und Poliklinik für Allgemein- und Transplantationschirurgie, Hufelandstrasse 55, D-45122 Essen, Germany. fuat.saner@uni-essen.de
Kavuk
I
I
Lang
H
H
Radtke
A
A
Paul
A
A
Broelsch
C E
CE
D000137:Acid-Base Imbalance; D001926:Brain Death / Q000503:physiopathology*; D006439:Hemodynamics; D006801:Humans; D006854:Hydrocortisone / Q000172:deficiency; D013963:Thyroid Hormones / Q000172:deficiency; D014019:Tissue Donors; D014667:Vasopressins / Q000172:deficiency
D013963:Thyroid Hormones; D014667:Vasopressins; D006854:Hydrocortisone