Donor management of brain death

Abstract

Donor management, recently described as “organ management”, is composed by the treatment of the patients diagnosed with brain death in the intensive care unit. In the brain death, hemodynamic, hormonal and inflammatory disorders resulted in cardiac arrest of the donor candidate can be seen. Unless these disorders be treated, the number and the quality of the organs transplanted may decreased. Also, which organ is planned to be transplanted, treatment and care should be directed to this organ. These disorders having different importances were investigated by the recent literature.

Keywords

• Brain death,donors,critical care

Beyin ölümünde donör bakımı

Abstract

Donör bakımı, son yıllarda “organ yönetimi” olarak adlandırılan yoğun bakımda beyin ölümü tanısı konulmuş hastalara uygulanan tedaviden oluşur. Beyin ölümünde donör adayının kardiak arrestine yol açabilecek hemodinamik, hormonal ve inflamatuvar bozukluklar görülebilir. Bu bozukluklar tedavi edilmezse transplante edilebilecek organ sayısı ve kalitesi düşebilir. Ayrıca donör bakımında hangi organın transplante edilmesi planlanıyorsa ona yönelik tedavi ve bakım uygulanmalıdır. Her biri ayrı öneme sahip bu bozukluklar son literatür taranarak incelenmiştir. 

Keywords

• beyin ölümü,dönörler,yoğun bakım

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