Maintenance protocol for potential organ donors in multiple organ procurement

Donor organs that are suitable for transplantation remain scarce, especially in view of the number of types of organ transplants now possible and the ever-increasing number of waiting recipients. This scarcity of donor organs can, to some extent, be ameliorated by the adoption of potential organ donor maintenance protocols that protect the organs from irreversible damage. Of key importance to the success of any such protocol is the establishment of hemodynamic adequacy and stability. Appropriate and vigorous antibiotic prophylaxis is also a major consideration, especially with regard to the pulmonary and genitourinary systems. The use of ophthalmologic preparations for protection of the corneas, attention to skin cleanliness, and the practice of rigorous sterile technique in the care of all indwelling catheters are measures that are strongly encouraged in order to provide the best possible chance of successful donation of organs that otherwise may be compromised.