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Journal: Journal of the Grodno State Medical University (Vol.20, No. 5)

Publication Date:

Authors : ;

Page : 485-493

Keywords : allograft; graft; donation; donor management; multi-organ; recipient; brain death; solid organ; transplantation;

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The relevance of the problem of the management of brain-dead donors is due to persistent mortality in both patients on the waiting list and those after organ transplantation, as well as the loss of function of the graft itself. The approach to managing brain-dead donors is similar to the treatment of critically diseased patients in intensive care units, but has a number of specific features that should be considered during donor management. The obtained information on modern methods of the management of brain-dead donors indicates that the timely start and an integrated approach to donor management can improve the results of organ transplantation. Conclusion. Based on clinical observations, it was established that each potential donor should be regarded as a multi-organ donor and the greatest number of organs should be considered as suitable for subsequent transplantation, which implies the use of an integrated approach aimed at maintaining the functioning of all donor organs. If there are contraindications to the harvesting of certain organs, the measures taken should be directed first at preserving the organ intended for transplantation, and next at maintaining adequate functioning of other organs and systems.

Last modified: 2022-11-17 21:21:26