2010, Number 2
PDF size: 40.31 Kb.
ABSTRACTIntroduction: Organ donation dependent on the rate of mortality and confirmation of brain death.
Objective: To identify and analyze the causes of failure in organ donation.
Method: A prospective, descriptive and observational. They followed up the patients with clinical diagnosis of brain death (MCC) in the Intensive Care Unit (ICU) in the Trauma Unit of Medical Specialty Care in Trauma (UMAE 21) in Monterrey, Nuevo Leon Mexico during January -December 2008. Diagnosis is made by finding no motor response, absence of stem reflexes and spontaneous breathing with no evidence of apnea; the confirmation was made through panangiographic brain. Collected the following demographic data: age, sex, diagnosis, time of clinical brain death, type of neurosurgery, intracranial pressure curve, and results of panangiographic, acceptance or rejection of the donation.
Results: We present data from 30 patients with MCC. In 93% (28) of cases there was no donation. The main causes are: 28.5% (8) the panangiographic not confirm the diagnosis of brain death to report the presence of flow in the lower parts of the brain in 28.5% (8) does not allow the deteriorating hemodynamic studies in 28.5% (8) legal administrative problems. In 7 (85%) of the 8 cases that reported the presence panangiographic blood flow decompressive craniotomy had been carried. In three cases in which no reported panangiographic blood flow had not been performed craniectomy. Applying Fisher gives a p = 0.03 so the craniectomy is associated with the presence of flow in panangiographic.
Conclusions: The rate of loss of potential donors is high; the decompressive craniectomy is associated with the presence of cerebral blood flow.
Díaz de León-Navarro RJ, Sánchez-Aguilar JM, Franco-Garrocho M, Shiguetomia-Medina JM, Tapia-Pérez H. Programa de donación de órganos y tejidos de individuos con muerte cerebral en San Luis Potosí. Impacto de los aspectos médicos legales en los resultados de 1999-2002. Gac Med Méx 2007;143(6):477-481.