[Hemodynamic and hydroelectrolytic problems in the care of potential multiorgan donors]

Brain death condition involves haemodynamic and hydroelectrolytic unbalances which can lead to organ malfunction and perfusion impairment making their harvest for transplant not possible. Fluid infusion, based on an adequate haemodynamic and hydroelectrolytic monitoring, can restore imbalances enabling organ harvest. Authors here report their own experience in treating 30 multiorgan donors during 12 hours before organs harvest; the fluidotherapy they performed and the need of basing either the quantity and the sort of the infused liquids on a close monitoring are discussed.