Role of normothermic perfusión with ECMO in donation after controlled cardiac death in Spain.

Autor: Rubio Muñoz JJ; Servicio de Medicina Intensiva, Unidad de Coordinación de Trasplantes, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, España. Electronic address: juanjose.rubio@salud.madrid.org., Dominguez-Gil González B; Organización Nacional de Trasplantes, Madrid, España., Miñambres García E; Coordinación Regional de Trasplantes de la Comunidad de Cantabria, Servicio de Medicina Intensiva del Hospital Universitario Marqués de Valdecilla-IDIVAL, Santander, España., Del Río Gallegos F; Coordinación Regional de Trasplantes de la Comunidad de Madrid, Servicio de Medicina Intensiva del Hospital Universitario Clínico San Carlos, Madrid, España., Pérez-Villares JM; Coordinador Regional de Trasplantes de la Comunidad de Andalucía, Servicio de Medicina Intensiva del Hospital Universitario Virgen de las Nieves, Granada, España.
Jazyk: English; Spanish; Castilian
Zdroj: Medicina intensiva [Med Intensiva (Engl Ed)] 2020 Jun 18. Date of Electronic Publication: 2020 Jun 18.
DOI: 10.1016/j.medin.2020.01.017
Abstrakt: Spain has become one of the most active countries in donation after controlled cardiac death, using normothermic abdominal perfusion with ECMO in more than 50% of all donors - a situation contributed to by the creation of mobile teams to support hospitals lacking this technology. The donation process must be respectful of the wishes and values of the patients and their relatives, especially if there is pre mortem manipulation, and the absence of cerebral perfusion should be guaranteed. The liver is the most benefited organ by reducing biliary complications as well as the loss of grafts. In renal transplantation, the technique could contribute to reduce the incidence of delayed graft function. In addition, the procedure is compatible with surgical rapid recovery in hypothermia when there is also lung donation. The future lies in the consolidation of cardiac donation by extending normothermic perfusion to the thoracic cavity.
(Copyright © 2020 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.)
Databáze: MEDLINE
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