Donor management of brain death

Year 2019, Volume: 12 Issue: 3, 534 - 541, 31.12.2019

Aslınur Sagün Nurcan Doruk

https://doi.org/10.26559/mersinsbd.590963

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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