Anest. intenziv. Med. 2012;23(6):295-299

Identification of potential organ donors after irreversible cardiac death (DCD) in the intensive care unitIntensive Care Medicine - Original Paper

Schmidt Matouš^1,2,*, Pokorná Eva³, Fric Michal¹, Duška František^2,4

¹ Klinika anesteziologie a resuscitace, Fakultní nemocnice Královské Vinohrady, Praha

² Univerzita Karlova v Praze, 3. lékařská fakulta, Praha

³ Transplantcentrum IKEM, Praha

⁴ Adult Intensive Care Unit, East Midlands Major Trauma Center, Nottingham, Velká Británie

Objective:
To identify potential organ donors after cardiac death (DCD) in the intensive care unit.

Design:
Retrospective, observational, single-center study.


Setting:
Department of Anaesthesiology and Intensive Care Medicine, University Hospital.

Materials and methods:
Out of 1513 patients admitted between 2010 and 2011, we retrospectivelytested the ability of the subgroup of nonsurvivors to become DCD organ donors.

Results:
23 patients were diagnosed as brain dead and became organ donors (DBD). Another 21 patients met the criteria for donors after cardiac death.

Conclusion:
Implementation of the DCD programme would significantly increase the number of organdonors (by up to 50% in our institution).

Keywords: DCD; donors after cardiac death; transplantation program; paliative therapy

Received: August 15, 2012; Accepted: October 1, 2012; Published: December 1, 2012  Show citation