Guidelines for potential multiple organ donors (adult): part II. Mechanical ventilation, endocrine metabolic management, hematological and infectious aspects.

Autor: Westphal GA, Caldeira Filho M, Vieira KD, Zaclikevis VR, Bartz MC, Wanzuita R, Réa-Neto A, Teixeira C, Franke C, Machado FO, Andrade Jd, Matos JD, Fiorelli A, Lamgaro DM, Nagel F, Dal-Pizzol F, Costa G, Teles JM, Melo LH, Coelho ME, Youssef NC, Duarte P, Souza RL
Jazyk: English; Portuguese
Zdroj: Revista Brasileira de terapia intensiva [Rev Bras Ter Intensiva] 2011 Sep; Vol. 23 (3), pp. 269-82.
Abstrakt: The role of intensive care specialists in the maintenance of deceased potential donors is not restricted to hemodynamics. Appropriate endocrine-metabolic management is fundamental to maintaining energy support and hydroelectrolytic control, which cooperate for hemodynamic stability. Hematological changes are also important, especially considering the issues caused by inappropriate transfusions. In addition, this article discusses the role of appropriate protective ventilation to prevent inflammatory responses and to provide more transplantable lungs. Finally, judicious assessment of infections and antibiotic therapy is discussed.
Databáze: MEDLINE