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Successful Management of Potential Non-Heart-Beating Donor with Extracorporeal Membrane Oxygenation: A Case Report
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Young Hwan Kim, Gui Yun Sohn, Yooun Joong Jung, Kyu Hyouck Kyoung, Suk Kyung Hong
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Korean J Crit Care Med. 2012;27(4):279-282.
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DOI: https://doi.org/10.4266/kjccm.2012.27.4.279
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Abstract
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- Hemodynamics of a brain-dead donor can change rapidly during management. It frequently leads to loss of the donor or deterioration of organ functions. Various efforts have been made not to lose potential donors. Extracorporeal membrane oxygenation (ECMO) and non-heart-beating donation (NHBD) are good examples of such efforts. A 47 year-old woman with a history of hypertension, diabetes mellitus and atrial fibrillation was diagnosed with cerebral infarction and hemorrhage. Cardiopulmonary resuscitation was performed three times before transfer to our hospital. Her family agreed to organ donation. ECMO was applied due to her unstable vital signs, which made the first declaration of brain death possible. However, considering the deteriorating vital signs and expected cardiac arrest, it was decided to switch to NHBD under the family's consent. All life-support devices including ECMO were turned off in the operation room. After cardiac death was declared, the harvesting of liver and kidneys was performed with perfusion through an ECMO catheter. The liver and kidneys were successfully transplanted to three recipients.
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Citations
Citations to this article as recorded by
- Extra-Corporeal Membrane Oxygenation Cadaver Donors: What about Tissues Used as Allografts?
Gregorio Marchiori, Matteo Berni, Giorgio Cassiolas, Leonardo Vivarelli, Nicola Francesco Lopomo, Milena Fini, Dante Dallari, Marco Govoni Membranes.2021; 11(7): 545. CrossRef - The Use of Extracorporeal Circulation in Suspected Brain Dead Organ Donors with Cardiopulmonary Collapse
Hyun Lee, Yang Hyun Cho, Kiick Sung, Jeong Hoon Yang, Chi Ryang Chung, Kyeongman Jeon, Gee Young Suh Journal of Korean Medical Science.2015; 30(12): 1911. CrossRef - Successful Transplantation of Organs from a Donor with Bacterial Meningitis Caused byStreptococcus pneumonia- A Case Report -
Eunjung Park, Sang-Cheon Choi, Youngjoo Lee, Yoonseok Jung, Younggi Min Korean Journal of Critical Care Medicine.2013; 28(2): 115. CrossRef
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