medigraphic.com
ISSN 3061-8142 (Electronic)

2026, Number S1

<< Back Next >>

Rev Mex Anest 2026; 49 (S1)

Multiorgan procurement: the anesthesiologist as guarantor of perfusion

Pisano D

Language: English
References: 10
Page: 498-499
PDF size: 648.67 Kb.


Text Extraction

It is important to understand and distinguish the classification of donors, as the techniques and management may vary significantly. DBD is the more traditional method of organ donation; brain death is determined prior to organ procurement. It is often confirmed via cerebral perfusion scans, neuroradiology and a two-physician confirmation protocol, typically utilizing a variety of factors such as neurological exam, metabolic assessment and ventilatory capacity (i.e. «apnea testing»). In 2025, there were 8,416 organ donations after brain death according to Organ Procurement and Transplantation Network (OPTN) in the United States. However, this represents a decrease from 9,706 DBD organ donations in 2024, a 13% decrease. Despite this, DCD, which is donation and procurement after irreversible cessation of cardiopulmonary function, increased from 7,280 donations in 2024 to 8,129 donations in 2025, representing an increase of 10%. Moreover, DCD have increased from 2% of total donors in 2000 to 49% in 2025.


REFERENCES

  1. “Organ Transplants Exceeded 48,000 in 2024; a 3.3 Percent Increasefrom the Transplants Performed in 2023.” Health Resources andServices Administration. 2025. Available in: https://www.hrsa.gov/optn/news-events/news/organ-transplants-exceeded-48000-2024-33-percentincrease-transplants-performed-2023

  2. Bakhtiyar SS, Maksimuk TE, Gutowski J, Park SY, Cain MT, RoveJY, et al. Association of procurement technique with organ yield andcost following donation after circulatory death. Am J Transplant.2024;24:1803-1815. doi: 10.1016/j.ajt.2024.03.027.

  3. McCreary J. “More organs now obtained via donation after circulatorydeath”. Medpage Today. 2026. Available in: https://www.medpagetoday.com/surgery/transplantation/120057#:~:text=An%20analysis%20of%20national%20data,2000%20to%208%2C416%20in%202025

  4. Brown MB, Abramowicz AE, Panzica PJ, Weber G. Anestheticconsiderations of organ procurement after brain and cardiac death: anarrative review. Cureus. 2023;15:e40629.

  5. Watson CJE, Gaurav R, Butler AJ. Current techniques and indicationsfor machine perfusion and regional perfusion in deceased donor livertransplantation. J Clin Exp Hepatol. 2024;14:101309. doi: 10.1016/j.jceh.2023.101309.

  6. Bekki Y, Croome KP, Myers B, Sasaki K, Tomiyama K. Normothermicregional perfusion can improve both utilization and outcomes inDCD liver, kidney, and pancreas transplantation. Transplant Direct.2023;9:e1450.

  7. Hassanzadeh P, Lam A, Wagner MJ, Conway J, Freed DH. Advancementsin donor heart preservation methods: a review of approaches. Can JCardiol. 2026;42:297-309. doi: 10.1016/j.cjca.2025.11.050.

  8. Frontera JA, Lewis A, James L, Melmed K, Parent B, Raz E, et al.Thoracoabdominal normothermic regional perfusion in donation aftercirculatory death does not restore brain blood flow. J Heart LungTransplant. 2023;42:1161-1165.

  9. Johri P, Rani R, Spevak C, Sotomayor C, Cornish N, De Marchi L, et al.An anesthesiologist’s moral distress with organ procurement: a narrativereview. Cureus. 2025;17:e88765.

  10. Sellers MT, Philip JL, Brubaker AL, Cauwels RL, Croome KP,Hoffman JR, et al. Normothermic regional perfusion experienceof organ procurement organizations in the US. JAMA Netw Open.2024;7:e2440130. doi: 10.1001/jamanetworkopen.2024.40130.




2020     |     www.medigraphic.com