罗马尼亚地方卫生局的CDCD器官捐献途径:战略规划,组织管理和结果
Alessandro Circelli1, Marta Velia Antonini1,2, Andrea Nanni1,3
1Anesthesia and Intensive Care Unit, Bufalini Hospital-AUSL della Romagna, Cesena, Italy.
Discover health systems
|July 31, 2023
概括
常温区域再输液 (NRP) 改善了循环死亡 (DCD) 后已故捐赠者的结果. 这种策略,也称为器官采集的体外间隔支持 (EISOR),有助于在移植前管理器官.
科学领域:
- 移植免疫学 移植免疫学
- 器官的保存 器官的保存
- 手术方面的创新.
背景情况:
- 随着器官移植需求的增加,需要扩大捐赠者池.
- 循环死亡 (DCD) 后的捐赠提供了一个潜在的解决方案.
- 常温区域再输液 (NRP) 是DCD器官管理的一个新兴策略.
研究的目的:
- 详细介绍DCD捐献的候选人选择.
- 描述一个区域化的模型,用于实施器官回收的体外间隔支持 (EISOR).
- 概述医疗保健专业人员在EISOR过程中的角色,并报告计划成果.
主要方法:
- 对于DCD捐献者的候选人选择协议.
- 实施一个区域化的EISOR服务模式.
- 具有定义的角色和责任的多学科团队方法.
- 数据收集和对计划成果的分析.
主要成果:
- 成功实施一个区域化的EISOR计划.
- 定义了相关医疗保健专业人员的角色和责任.
- 在地方卫生当局内的医院网络中招募DCD捐赠者.
结论:
- 常温区域再输液 (NRP) 或EISOR是管理DCD捐献器官的可行策略.
- 一种结构化,区域化的方法,定义了专业角色,有助于EISOR的实施.
- 这种模型显示了从DCD捐赠者增加器官可供移植的前景.
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