Best Practices for Intensivists Planning and Opening Hospital-Based Deceased Organ Donor Care Units

CHEST critical care Pub Date : 2024-11-08 DOI:10.1016/j.chstcc.2024.100110

Emily A. Vail MD , Rita N. Bakhru MD , Ashley C. McGinity MD , Todd Sarge MD , Julie K. Heimbach MD , Allison J. Tompeck MD , Thomas M. Leventhal MD , Devang K. Sanghavi MBBS, MD , George W. Williams III MD , Rishi Kumar MD , Philip Sommer MD , Niels D. Martin MD , Samuel T. Windham MD , Varun K. Goyal MD , Donor Care Unit Network for Optimizing Recovery Group

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Abstract

Over the past 2 decades, clinical management and recovery of organs from deceased donors in the United States increasingly have been centralized into specialty donor care units. Intensivists who lead or practice in donor care units colocated with hospitals (or hospital-based donor care units) are well positioned to offer operational experience, to deliver evidence-based clinical donor management, and to leverage hospital resources to facilitate research and education efforts to improve access to transplantable organs. In this How I Do It article, intensivist leaders of 11 US donor care units collaborating in the Donor Care Unit Network for Optimizing Recovery group describe the benefits and limitations of hospital-based donor care units and collate resources and shared experiences to inform planning and opening of other hospital-based donor care units.

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CHEST critical care Critical Care and Intensive Care Medicine, Pulmonary and Respiratory Medicine

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