Anest. intenziv. Med. 2014;25(4):296-300

The first clinical experience with organ donation from donors after cardiac death (DCD) - Case reportIntesive Care Medicine - Case Report

Schmidt Matouš1,2,*, Pažout Jaroslav1,2, Fric Michal1,2, Waldauf Petr1,2, Pokorná Eva3, Pachl Jan1,2
1 Klinika anesteziologie a resuscitace Fakultní nemocnice Královské Vinohrady, Praha
2 3. lékařská fakulta Univerzity Karlovy, Praha
3 Transplantcentrum, Institut klinické a experimentální medicíny, Praha

Two separate types of organ donation from dead donors exist in the Czech law. The first type is donation from donors after brain death (DBD) and the second type is donation from donors after cardiac death (DCD). While the first type is a routine part of clinical practice in the Czech Republic, donation from donors after circulatory death is in its begin-nings. The recommendation of competent professional societies for donation after cardiac death was approved in 2013. In this case report of a 45-year old man after severe brain injury, we try to point out the important differences in the cardiac (circulatory) death donation proces.

Keywords: DCD (donors after cardiac death); donation of organs; palliative care; withdrawal of organ support

Received: March 25, 2014; Accepted: May 26, 2014; Published: August 1, 2014  Show citation

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Schmidt M, Pažout J, Fric M, Waldauf P, Pokorná E, Pachl J. The first clinical experience with organ donation from donors after cardiac death (DCD) - Case report. Anest. intenziv. Med. 2014;25(4):296-300.
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References

  1. Pokorná, E. Zemřelí dárci orgánů k transplantacím. Čas. Lék. čes., 2011, 150, s. 34-36.
  2. International Registry in Organ Donation and Transplantation. Dostupné na: www.irodat.org.
  3. Organ Donation and Transplantation, Activity report 2012/13, dostupné na: http://www.organdonation.nhs.uk/statistics/transplant_activity_report/current_activity_reports/ukt/activity_report_2012_13.pdf (poslední přístup 17.5.2014).
  4. Domínguez-Gil, B., Haase-Kromwijk, B., Van Leiden, H. et al. Current situation of donation after circulatory death in European countries. Transpl. Int., 2011, 24, 7, p. 676-686. Go to original source... Go to PubMed...
  5. Jochmans, I., Darius, T., Kuypers, D., Monbaliu, D. et al. Kidney donation after circulatory death in a country with a high number of brain dead donors: 10-year experience in Belgium. Transpl. Int., 2012, 25, 8, p. 857-866. Go to original source... Go to PubMed...
  6. Zákon č. 285/2002 Sb. a jeho novela zákonem č. 44/2013 Sb. Dostupné na: http://www.mzcr.cz/legislativa/dokumenty/zakon-c44/2013-sb-kterym-se-meni-zakon-c285/2002-sb-o-darovaniodberech_7543_11.html (poslední přístup 27.1.2014).
  7. Doporučený postup před odběrem orgánů od zemřelých dárců po nevratné zástavě krevního oběhu. Dostupné na: http://www.csim.cz/Public/csim/dokumenty/Doporu%C4%8Den%C3%A9%20postupy%20a%20stanoviska%20%C4%8CSIM/120-doporuceny-postup-2013-odber-organu.pdf?TimeStamp=20140418013437 (poslední přístup 17.5.2014).
  8. Doporučení představenstva ČLK č. 1/2010 k postupu při rozhodování o změně léčby intenzivní na léčbu paliativní u pacientů v terminálním stavu, kteří nejsou schopni vyjádřit svou vůli. Dostupné na: http://www.csarim.cz/Public/csim/dop-CLK-2010-31.pdf (poslední přístup 27.1.2014)
  9. Kootstra, G., Daemen, J. The non-heart-beating donor. Transplant. Proc., 1996, 28, p. 16.
  10. Protokol o zjištění smrti, příloha č. 3, vyhl. č. 114/2013 Sb. Dostupné na: http://www.ikem.cz/zivot2/protokol/pdf/protokol_04_13.pdf (poslední náhled 17.5.2014).
  11. Schmidt, M., Pokorná, E., Fric, M., Duška, F. Identifikace potenciálních dárců orgánů po nevratné zástavě oběhu na pracovišti intenzivní medicíny. Anest. intenziv. Med., 2012, 23, 6, s. 295-299.
  12. Černý, V., Pařízková, R., Dostál, P., Jahodářová, R., Herold, I., Nalos, D. Ukončování ventilační podpory u nemocných v intenzivní péči. Anest. intenziv. med., 2001, 2, s. 64-68.
  13. Kompanje, E. J. O., van der Hoven, B., Bakker, J. Anticipation of distress after discontinuation of mechanical ventilation in the ICU at the end of life. Int. Care Med., 2008, 34, p. 1593-1599. Go to original source... Go to PubMed...




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