title: Management of the Potential Organ Donor in the ICU: Society of Critical Care Medicine/American College of Chest Physicians/Association of Organ Procurement Organizations Consensus Statement.
abstract: This document was developed through the collaborative efforts of the Society of Critical Care Medicine, the American College of Chest Physicians, and the Association of Organ Procurement Organizations. Under the auspices of these societies, a multidisciplinary, multi-institutional task force was convened, incorporating expertise in critical care medicine, organ donor management, and transplantation. Members of the task force were divided into 13 subcommittees, each focused on one of the following general or organ-specific areas: death determination using neurologic criteria, donation after circulatory death determination, authorization process, general contraindications to donation, hemodynamic management, endocrine dysfunction and hormone replacement therapy, pediatric donor management, cardiac donation, lung donation, liver donation, kidney donation, small bowel donation, and pancreas donation. Subcommittees were charged with generating a series of management-related questions related to their topic. For each question, subcommittees provided a summary of relevant literature and specific recommendations. The specific recommendations were approved by all members of the task force and then assembled into a complete document. Because the available literature was overwhelmingly comprised of observational studies and case series, representing low-quality evidence, a decision was made that the document would assume the form of a consensus statement rather than a formally graded guideline. The goal of this document is to provide critical care practitioners with essential information and practical recommendations related to management of the potential organ donor, based on the available literature and expert consensus.
authors.affiliation: 1Department of Pulmonary Medicine, Cleveland Clinic, Cleveland, OH. 2Division of Pulmonary, Allergy, and Critical Care Medicine, Penn State Hershey Medical Center, Hershey, PA, and Pittsburgh Critical Care Associates, Pittsburgh, PA. 3Department of Surgery, Christiana Care Health System, Newark, DE. 4Department of Surgery, Portland Veterans Affairs Medical Center, Portland, OR. 5Pulmonary, Allergy, and Critical Care Division, Hospital of the University of Pennsylvania, Philadelphia, PA. 6Division of Pulmonary Diseases and Critical Care Medicine, University of Texas Health Center at San Antonio, San Antonio, TX. 7Department of Surgery, University of Minnesota Medical Center, Minneapolis, MN. 8General Surgery Department, Harlem Hospital Center, New York, NY. 9Department of Anesthesiology, University of Maryland Medical Center, Baltimore, MD. 10Section of Pediatric Critical Care, Wake Forest Baptist Health Medical Center, Winston-Salem, NC. 11Department of Surgery, University of California, San Francisco, San Francisco, CA. 12Department of Surgery, Duke University Medical Center, Durham, NC. 13Geisinger Medical Center, Danville, PA. 14SUNY Buffalo, Buffalo, NY. 15Department of Neurology, Rush Medical College, Chicago, IL. 16Association of Organ Procurement Organizations, Vienna, VA. 17New England Organ Bank, Waltham, MA. 18Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA. 19Gift of Life, Philadelphia, PA. 20Department of Medicine, University of Maryland Medical Center, Baltimore, MD. 21Department of Surgery, Alleghany General Hospital, Pittsburgh, PA. 22Department of Emergency Medicine, SUNY Upstate Medical Center, Syracuse, NY. 23Department of Pediatric Critical Care Medicine, Akron Children's Hospital, Akron, OH. 24Department of Critical Care Medicine, Loma Linda University Children's Hospital, Loma Linda, CA. 25Intensivist, Atlanta, GA. 26Division of Pulmonary and Critical Care Medicine, University o
authors.forename: Robert M
authors.initials: RM
authors.lastname: Kotloff
authors.forename: Sandralee
authors.initials: S
authors.lastname: Blosser
authors.forename: Gerard J
authors.initials: GJ
authors.lastname: Fulda
authors.forename: Darren
authors.initials: D
authors.lastname: Malinoski
authors.forename: Vivek N
authors.initials: VN
authors.lastname: Ahya
authors.forename: Luis
authors.initials: L
authors.lastname: Angel
authors.forename: Matthew C
authors.initials: MC
authors.lastname: Byrnes
authors.forename: Michael A
authors.initials: MA
authors.lastname: DeVita
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Grissom
authors.forename: Scott D
authors.initials: SD
authors.lastname: Halpern
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Nakagawa
authors.forename: Peter G
authors.initials: PG
authors.lastname: Stock
authors.forename: Debra L
authors.initials: DL
authors.lastname: Sudan
authors.forename: Kenneth E
authors.initials: KE
authors.lastname: Wood
authors.forename: Sergio J
authors.initials: SJ
authors.lastname: Anillo
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Bleck
authors.forename: Elling E
authors.initials: EE
authors.lastname: Eidbo
authors.forename: Richard A
authors.initials: RA
authors.lastname: Fowler
authors.forename: Alexandra K
authors.initials: AK
authors.lastname: Glazier
authors.forename: Cynthia
authors.initials: C
authors.lastname: Gries
authors.forename: Richard
authors.initials: R
authors.lastname: Hasz
authors.forename: Dan
authors.initials: D
authors.lastname: Herr
authors.forename: Akhtar
authors.initials: A
authors.lastname: Khan
authors.forename: David
authors.initials: D
authors.lastname: Landsberg
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Lebovitz
authors.forename: Deborah Jo
authors.initials: DJ
authors.lastname: Levine
authors.forename: Mudit
authors.initials: M
authors.lastname: Mathur
authors.forename: Priyumvada
authors.initials: P
authors.lastname: Naik
authors.forename: Claus U
authors.initials: CU
authors.lastname: Niemann
authors.forename: David R
authors.initials: DR
authors.lastname: Nunley
authors.forename: Kevin J
authors.initials: KJ
authors.lastname: O'Connor
authors.forename: Shawn J
authors.initials: SJ
authors.lastname: Pelletier
authors.forename: Omar
authors.initials: O
authors.lastname: Rahman
authors.forename: Dinesh
authors.initials: D
authors.lastname: Ranjan
authors.forename: Ali
authors.initials: A
authors.lastname: Salim
authors.forename: Robert G
authors.initials: RG
authors.lastname: Sawyer
authors.forename: Teresa
authors.initials: T
authors.lastname: Shafer
authors.forename: David
authors.initials: D
authors.lastname: Sonneti
authors.forename: Peter
authors.initials: P
authors.lastname: Spiro
authors.forename: Maryam
authors.initials: M
authors.lastname: Valapour
authors.forename: Deepak
authors.initials: D
authors.lastname: Vikraman-Sushama
authors.forename: Timothy P M
authors.initials: TP
authors.lastname: Whelan
mesh_terms: D003643:Death; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration* / Q000592:standards; D028701:Patient Rights; D017410:Practice Guidelines as Topic; D012955:Societies, Medical; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000458:organization & administration* / Q000592:standards; D014481:United States