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Canadian Journal of Anesthesia, Vol 37, 806-812, Copyright © 1990 by Canadian Anesthesiologists' Society


ARTICLES

Anaesthetic management of the brain dead for organ donation

AW Gelb and KM Robertson
Department of Anaesthesia, University Hospital, London, Ontario, Canada.

An increasing number of anaesthetists is being called upon to manage organ donors during organ retrieval procedures. We briefly describe the technical aspects of the surgical procedure together with a guide to the anaesthetic management. The aims of the latter may be summarized as the "Rule of 100": systolic blood pressure greater than 100 mmHg, urine output greater than 100 ml.hr-1, PaO2 greater than 100 mmHg, haemoglobin concentration greater than 100 g.L-1. Common management problems (hypotension, arrhythmias, diabetes insipidus, oliguria, and coagulopathy) are discussed in detail. The intraoperative management of the brain-dead organ donor provides the anaesthetist with the challenge of a major surgical procedure in a subject with important physiological derangements.





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Copyright © 1990 by the Canadian Anesthesiologists' Society.