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Revista Mexicana de Trasplantes

ISSN 2007-6800 (Print)
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2018, Number 3

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Rev Mex Traspl 2018; 7 (3)

First multi-organ donation in Chiapas, the importance of intensive care management and multidisciplinary and inter-institutional participation, case report

George-Aguilar F, Pérez-Cigarroa F, Pérez-Tirado JM, Espinoza-Pereyra JA, Lozano-Orozco J, Ortega-Molina MI, Muguerza-Lara A, Reyes-Velázquez GA, Barrancos-López M
Full text How to cite this article

Language: Spanish
References: 7
Page: 93-98
PDF size: 199.02 Kb.


Key words:

Multiorgan donation, Intensive Care, multidisciplinary team.

ABSTRACT

There is a high need of organs for transplantation in Chiapas and patients served by the Regional Center of High Specialty that includes the Regional Hospital of High Specialty Ciudad Salud and the Hospital of Pediatric Specialties outnumber possible living donors and there is no previous registration of multiorganic donation for transplant purposes in the state. Case report: A 19 year old man with probably brain death due to severe head trauma treated at IMSS and unable to transfer to third level hospitals dependent on that same institution for diagnostic confirmation of brain death and organ donation, the chiapanecan interinstitutional support network was coordinated and in Ciudad Salud, brain death was diagnosed, the national network of transplants was activated and the hospital teams would arrive late for procurement, meanwhile the donor stayed in Intensive Care Unit where their general conditions were maintained in optimal conditions for donation despite the state of gravity and the high risk of organ infeasibility, the donation was successful thanks to the multidisciplinary support. Conclusion: In Chiapas, the interinstitutional coordination network and multidisciplinary support were key for the first multiorgan donation for transplant purposes, the management in Intensive Care was crucial for the success of the donation.


REFERENCES

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  2. Querevalú W, Orozco R, Díaz S. Mantenimiento del donante cadavérico en la Unidad de Terapia Intensiva. Rev Asoc Mex Med Crit y Ter Int. 2013; 27 (2): 107-114.

  3. Rosendale JD, Chabalewski FL, McBride MA, Garrity ER, Rosengard BR, Delmonico FL et al. Increased transplanted organs from the use of a standardized donor management protocol. Am J Transplant. 2002; 2 (8): 761-768.

  4. Boletín Estadístico Informativo Centro Nacional de Trasplantes (CENATRA). No. 2, Volumen: I, Periodo: Enero-Diciembre 2016. Disponible en: http://www.gob.mx/cenatra/documentos/estadisticas-50060.

  5. Kotloff RM, Blosser S, Fulda GJ, Malinoski D, Ahya VN, Angel L et al. 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. Crit Care Med. 2015; 43 (6): 1291-1325.

  6. Niemann CU, Malinoski D. Therapeutic hypothermia in deceased organ donors and kidney-graft function. N Engl J Med. 2015; 373 (27): 2687.

  7. Nicolas-Robin A, Amour J, Ibanez-Esteve C, Coriat P, Riou B, Langeron O. Effect of glucose-insulin-potassium in severe acute heart failure after brain death. Crit Care Med. 2008; 36: 2740-2745.




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Rev Mex Traspl. 2018;7