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Rev Bras Ter Intensiva. 2011 Dec;23(4):410-25.

Guidelines for potential multiple organ donors (adult). Part III: organ-specific recommendations.

Revista Brasileira de terapia intensiva

[Article in Portuguese]
Glauco Adrieno Westphal, Milton Caldeira Filho, Kalinca Daberkow Vieira, Viviane Renata Zaclikevis, Miriam Cristine Machado Bartz, Raquel Wanzuita, Alvaro Réa-Neto, Cassiano Teixeira, Cristiano Franke, Fernando Osni Machado, Joel de Andrade, Jorge Dias de Matos, Karine Becker Gerent, Alfredo Fiorelli, Anderson Ricardo Roman Gonçalves, Ben-Hur Ferraz Neto, Fernando Suparregui Dias, Frederico Bruzzi de Carvalho, Gerson Costa, José Jesus Camargo, José Mário Meira Teles, Marcelo Maia, Marcelo Nogara, Maria Emília Coelho, Marilda Mazzali, Nazah Cherif Mohamad Youssef, Péricles Duarte, Rafael Lisboa de Souza, Rogério Fernandes, Spencer Camargo, Valter Duro Garcia

PMID: 23949454

Abstract

Brain death (BD) alters the pathophysiology of patients and may damage the kidneys, the lungs, the heart and the liver. To obtain better quality transplant organs, intensive care physicians in charge of the maintenance of deceased donors should attentively monitor these organs. Careful hemodynamic, ventilatory and bronchial clearance management minimizes the loss of kidneys and lungs. The evaluation of cardiac function and morphology supports the transplant viability assessment of the heart. The monitoring of liver function, the management of the patient's metabolic status and the evaluation of viral serology are fundamental for organ selection by the transplant teams and for the care of the transplant recipient.

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