title: Organ donation protocols.
abstract: Organ transplantation improves survival and quality of life in patients with end-organ failure. Waiting lists continue to grow across the world despite remarkable advances in the transplantation process, from the creation of public engagement campaigns to the development of critical pathways for the timely identification, referral, approach, and treatment of the potential organ donor. The pathophysiology of dying triggers systemic changes that are intimately related to organ viability. The intensive care management of the potential organ donor optimizes organ function and improves the donation yield, representing a significant step in reducing the mismatch between organ supply and demand. Different beliefs and cultures reflect diverse legislations and donation practices amongst different countries, creating a challenge to standardized practices. Maintaining public trust is necessary for continued progress in organ donation and transplantation, hence the urge for a joint effort in creating uniform protocols that ensure transparent practices within the medical community.
authors.affiliation: Division of Neurocritical Care and Emergency Neurology, Department of Neurology, Yale School of Medicine, New Haven, CT, USA.
authors.forename: C B
authors.initials: CB
authors.lastname: Maciel
authors.affiliation: Division of Neurocritical Care and Emergency Neurology, Department of Neurology, Yale School of Medicine, New Haven, CT, USA.
authors.forename: D Y
authors.initials: DY
authors.lastname: Hwang
authors.affiliation: Department of Neurology, Yale School of Medicine, New Haven, CT, USA. Electronic address: david.greer@yale.edu.
authors.forename: D M
authors.initials: DM
authors.lastname: Greer
mesh_terms: D003469:Culture; D006801:Humans; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000592:standards*
keywords: brain death; organ donation; organ procurement