以医院为基础的捐赠者护理单位操作的最佳实践

CHEST critical care Pub Date : 2025-03-03 DOI:10.1016/j.chstcc.2025.100144

Emily A. Vail MD , Varun K. Goyal MD , Ashley C. McGinity MD , Todd Sarge MD , Julie K. Heimbach MD , Arthur R. Mielke MD, MPH , Allison J. Tompeck MD , Carolina B. Maciel MD , Katharina M. Busl MD , Thomas M. Leventhal MD , Devang K. Sanghavi MBBS, MD , Rishi Kumar MD , Philip M. Sommer MD , Kim M. Olthoff MD , Niels D. Martin MD , Samuel T. Windham MD , Rita N. Bakhru MD

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引用次数: 0

摘要

美国器官采购组织越来越多地将已故捐赠者的器官的管理和回收集中到专门的捐赠者护理单位（dcu），越来越多的证据表明其有效性。这种模式的转变提供了后勤优势，但对负责安全、有效和高效地管理已故潜在器官捐赠者的重症监护医师提出了新的考虑。在这篇我是如何做到的文章中，12个美国dcu的重症监护医师领导在优化康复小组的供体护理单位网络中合作，描述了在医院供体护理单位中为脑死亡和循环死亡的已故供体提供护理和器官恢复的最佳实践。具体考虑包括供体转移、临床供体管理、绩效评估和质量改进。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Best Practices for Hospital-Based Donor Care Unit Operations

United States organ procurement organizations increasingly are centralizing the management and recovery of organs from deceased donors into dedicated donor care units (DCUs) with growing evidence of effectiveness. This paradigm shift offers logistical advantages, but introduces new considerations for intensivists responsible for the safe, effective, and efficient management of deceased potential organ donors. In this How I Do It article, intensivist leaders of 12 US DCUs collaborating in the Donor Care Unit Network for Optimizing Recovery group describe best practices for delivering care and organ recovery from deceased donors after brain death and circulatory death in hospital-based donor care units. Specific considerations include donor transfers, clinical donor management, performance assessment, and quality improvement.

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来源期刊

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

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