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Published on: April 17, 2020
Active Donor Management Goals in Serial Donors After Brain Death
Manuela Bonizzoli1, Chiara Lazzeri, Simona Di Valvasone
1From the Intensive Care Unit and Regional Referral Centre, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Objectives:
Management of potential organ donors is crucial in the donation process, considering that hemodynamic instability is quite common.
Materials And Methods:
In the this single-center retrospective observational study, we analyzed 87 utilized brain death donors consecutively admitted to our intensive care unit from January 1, 2019, to December 31, 2022. We assessed the achievement of donor management goals during the observation period, and we also evaluated whether the achieve-ment of donor goals differed between younger and older donors (arbitrary age cutoff of 65 years).
Results:
In our series, mean age of donors was 67 ± 18 y, and organ-per-donor ratio was 2.3. The number of donor goals significantly increased during the 6-hour observation period (P < .001) and all donor goals were achieved in most donors (84/87) at the end of the observation period with no changes in the use and dose of vasoactive drugs. With respect to age, the number of donor goals was significantly higher in older donors at first evaluation, but goals significantly increased in both age subgroups of donors at the end of the 6-hour observation period.
Conclusions:
Our data strongly suggested that a strict hemodynamic monitoring schedule allows the achievement of donor goals both in older and in younger brain death donors. We confirmed our previous findings that hemodynamic management in brain death donors is influenced by age. A strict hemodynamic monitoring schedule of brain death donors is useful to consistently achieve donor goals.
