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2019, Number 1

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Med Crit 2019; 33 (1)

Impact of success in transplants due to maintenance of organs in intensive therapy, apropos of the first multiorgan donation in Chiapas, case report

Aguilar FG, Muguerza LA, Pérez TJM, Espinosa PJA, Pérez CF, Lozano OJ, Ortega MMI, Reyes VGA
Full text How to cite this article 10.35366/86348

DOI

DOI: 10.35366/86348
URL: https://dx.doi.org/10.35366/86348

Language: Spanish
References: 7
Page: 45-49
PDF size: 173.69 Kb.


Key words:

Organ donor, Intensive Care Unit, interinstitutional coordination.

ABSTRACT

There is a high need of organs for transplantation in Chiapas and there is no previous registration of multiorgan donation for transplant purposes in the state.
Case report: A 19 year old man with probably brain death due to traumatic brain injury treated at IMSS and unable to transfer to third level hospitals, the Chiapanecan interinstitutional support network was coordinated and in «Ciudad Salud», brain death was diagnosed, the national network of transplants was activated and the teams would arrive late for procurement, the donor stayed in Intensive Care Unit where their general conditions were maintained in optimal conditions, 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

  1. Seller-Pérez G, Herrera-Gutiérrez ME, Lebrón-Gallardo M, Quesada-García G. Planteamientos generales para el mantenimiento del donante de órganos. Med Intensiva. 2009;33(5):235-242.

  2. Querevalú-Murillo W, Orozco-Guzmán R, Díaz-Tostado 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). 2016; 2(I). 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(10):2740-2745.




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Med Crit. 2019;33