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A review of the management of the hemodynamic status of brain death donors
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Mohammad Montaseri1   , Fatemeh Bahramnezhad *2 |
1- Department of Critical Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2- Department of Critical Care Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran , bahramnezhad.f@gmail.com |
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Abstract: (744 Views) |
Abstract
Aim. This study was conducted with the aim of providing care solutions to manage the hemodynamic status of potential donors with brain death.
Background. Currently, organ transplantation is the treatment of choice for complete organ failure. The results of studies have shown that a significant percentage of potential donors with brain death organs are not usable for transplantation due to hemodynamic instability. Therefore, hemodynamic management in this category of donors plays an essential role in the donation process. Despite the studies, there are no strong evidences and recommendations about the management of hemodynamic stability of these patients. Therefore, in this review, evidence-based solutions have been tried to maintain the hemodynamic stability of these donors.
Method. In this review study, with library search and search in databases PubMed, Scopus, Web of Science, SID, and MagIran with the keywords organ donor management, brain death, hemodynamic care, organ donor, deceased donor, hemodynamic management, donation after neurological death, and cardiovascular management published in the period from 2009 to 2024. In addition, the Google Scholar search engine was also explored. A total of 20 articles were included in the literature review.
Findings. Maintaining proper organ perfusion and identifying clinical conditions that can be effectively treated are among the most important goals of hemodynamic management of these donors, and hemodynamic monitoring, serum therapy, use of cardiac drugs, and hormone therapy are among the most important. There are also studies that recommend serial echocardiography to identify reversible clinical conditions.
Conclusion. The high demand for organ transplantation, and despite the high number of brain deaths and sometimes consent for transplantation, only a small percentage of these people's organs are successfully transplanted. In order to preserve the transplanted organs, it is recommended to take proper and basic care of the patients with brain death. It is necessary for nurses, especially nurses in the intensive care unit, to be very careful in caring for patients with potential brain death.
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| Keywords: Organ donor, Brain death, Hemodynamic care, Hemodynamic stability |
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Full-Text [PDF 963 kb]
(1613 Downloads)
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: Applicable |
Subject:
Hemodynamic monitoring
Received: 2024/01/04 | Accepted: 2024/05/13 | Published: 2024/07/17 | ePublished: 2024/07/17
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