ABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Heart Arrest/complications , Heart Arrest/diagnosis , Syncope/diagnosis , Odontoid Process/injuries , Contusions/diagnostic imaging , Cerebrum/diagnostic imaging , Cerebrum/injuries , Cardiopulmonary Resuscitation/methods , Odontoid Process/diagnostic imaging , Magnetic Resonance ImagingSubject(s)
Heart Arrest/etiology , Odontoid Process/injuries , Spinal Fractures/complications , Accidental Falls , Aged , Contusions/diagnostic imaging , Fatal Outcome , Hematoma, Epidural, Spinal/diagnostic imaging , Humans , Male , Odontoid Process/diagnostic imaging , Spinal Fractures/diagnostic imagingABSTRACT
Donation after circulatory death (DCD) or controlled cardiac death (Maastricht type III donors) is that in which the irreversible cessation of circulatory and respiratory function occurs after the withdrawal of life-sustaining therapies. The shortage of available donor lungs has prompted the development of programs of controlled DCD for lung transplantation. The combined thorax-abdomen extraction in these cases is carried out only in a few centers in Spain, being even more exceptional considering the combined use of super rapid lung extraction with abdominal normothermic regional perfusion. The success achieved with the first cases of combined thorax-abdomen extraction in Maastricht type III donors in Navarra shows that it is a feasible and safe procedure.
Subject(s)
Lung Transplantation/methods , Tissue Donors/supply & distribution , Tissue and Organ Harvesting/methods , Death , Humans , Perfusion/methods , SpainABSTRACT
La donación en asistolia (DA) tipo III de Maastricht o DA controlada es aquella en que el cese irreversible de la función circulatoria y respiratoria se produce tras la retirada de medidas de soporte vital. Dada la escasez de pulmones disponibles para trasplante, se está valorando cada vez con más frecuencia el inicio de programas con pulmones procedentes de DA. La extracción combinada tórax-abdomen en DA se lleva a cabo únicamente en doce centros en España, siendo todavía más excepcional el empleo combinado de extracción superrápida pulmonar con perfusión regional normotérmica abdominal. El primer caso de extracción pulmonar y abdominal en un donante en asistolia tipo III en Navarra con este tipo de técnicas de preservación supone un hito y el éxito alcanzado demuestra que es un procedimiento factible y seguro
Donation after circulatory death (Maastricht type III donation) or controlled cardiac death refers to the retrieval of organs for transplantation purposes following death confirmed using circulatory criteria after the withdrawal of life support. The persistent shortfall in organ availability has prompted the development of donation programs following circulatory death for lung transplantation. The combined thorax-abdomen extraction in these cases is carried out in only twelve centres in Spain, while the combined use of abdominal normothermic regional perfusion (NRP) is even more exceptional. The first case of pulmonary and abdominal extraction in a Maastricht type III donor in Navarre with this type of preservation techniques is a milestone and the success achieved shows that it is a feasible and safe procedure
Subject(s)
Humans , Male , Middle Aged , Heart Arrest/prevention & control , Perfusion/methods , Respiration, Artificial , Tissue Donors , Tissue and Organ Procurement/standards , Extracorporeal Circulation/methods , Thoracic Surgery/methods , Critical Care/trendsABSTRACT
Donation after circulatory death (Maastricht type III donation) or controlled cardiac death refers to the retrieval of organs for transplantation purposes following death confirmed using circulatory criteria after the withdrawal of life support. The persistent shortfall in organ availability has prompted the development of donation programs following circulatory death for lung transplantation. The combined thorax-abdomen extraction in these cases is carried out in only twelve centres in Spain, while the combined use of abdominal normothermic regional perfusion (NRP) is even more exceptional. The first case of pulmonary and abdominal extraction in a Maastricht type III donor in Navarre with this type of preservation techniques is a milestone and the success achieved shows that it is a feasible and safe procedure.
