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donor optimisation

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8.5 - Physiological Support of the Organ Donor
from Section 8 - End-of-Life Care
- By Shankara Nagaraja
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 683-685
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Summary

Key Learning Points
1. Any patient likely to progress to brain death is a potential organ donor.
2. Severe raised intracranial pressure and brain death are associated with various organ system consequences.
3. Optimising the physiological status of a potential donor is an active process and may require escalation of monitoring and therapies.
4. Donor management improves the quality of donated organs.
5. Care bundles for the management of brain-dead organ donors are available.