美国移植外科医生协会关于正常热区域输液的共识声明
Anji E Wall1, Bradley L Adams2, Aleah Brubaker3
1Division of Abdominal Transplantation, Baylor Simmons Transplant Institute, Dallas, TX.
Transplantation
|January 23, 2024
概括
移植领域的领导者制定了器官捐赠中常温区域输液 (NRP) 的指导方针. 该共识涉及伦理原则,实践标准和NRP程序的数据收集,重点是循环死亡后的捐赠者.
科学领域:
- 移植医学 移植医学
- 手术创新 在外科创新.
- 器官捐献伦理 器官捐献伦理
背景情况:
- 常温区域 perfusion (NRP) 是一个不断发展的器官采购技术.
- 对于NRP的伦理和实际考虑,特别是循环死亡 (DCD) 后的捐赠者,需要明确的指导方针.
- 标准化对于NRP在移植中的安全和有效应用至关重要.
研究的目的:
- 建立关于胸腔腹部和腹部NRP的伦理原则的共识声明.
- 为实施胸腔腹部和腹部NRP制定实践指南.
- 启动一个中央数据库,用于收集美国NRP捐赠者和接受者数据.
主要方法:
- 召开了神经科学,移植,重症监护,器官采购组织和移植中心的国家和国际专家会议.
- 在NRP期间,聚焦讨论了在DCD捐赠者中神经流动和神经功能的有争议的问题.
- 为安全和有效的NRP程序提出的技术标准.
主要成果:
- 制定了一份关于NRP伦理原则的共识声明.
- 为胸腔腹部和腹部NRP的实践标准提出了指导方针.
- 开始计划建立一个中央NRP数据收集数据库.
结论:
- 这次会议为伦理和标准化的NRP实践提供了一个框架.
- 在NRP期间解决DCD捐赠者的神经流和功能至关重要.
- 标准化数据收集将提高对NRP在器官移植中的理解和应用.
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