Objective To explore the donor maintenance points of donor donation after brain death (DBD).
Methods From December 2011 to January 2012,two cases of organ DBD in our hospital were performed. After diagnosis of brain death,mechanical ventilation,fluid resuscitation,vasoactive drugs,inotropic drugs,and so on were used,and invasive arterial pressure, central venous pressure,heart rate,blood gas exchange,urine output,electrolyte and acid-base balance,body temperature, hematocrit,albumin level were monitored,the donors vital organ perfusion were successfully kept at acceptable level.
Results The vital signs of two cases of DBD donors were stable. The livers,kidneys,and corneas were donated,and the functions were stable and normal. Case one was diagnosed for brain death 6h after ICU admitted,the period from diagnosis to organ procurement was 33h. Case two was diagnosed for brain death 8h after ICU admitted,the period from diagnosis to organ procurement was 31h. All transplanted organs,livers,kidneys,and corneas,were working well after operation.
Conclusions Donor maintenance process of DBD is the cornerstone to ensuring successfully organ donation and transplantation,which is important to improve the utilization rate of donated organs,and release the severely shortage of organ.
Citation: ZHOU Zhigang,LI Chao,LI Li,WANG Yinjia,DONG Quan,ZHENG Pengxiao,.. Donor Maintenance of Organ Donation after Brain Death (Report of 2 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(5): 486-489. doi: Copy