Intraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a French survey
Abstract Background This study aimed at describing usual anesthetic practices for brain-dead donors (BDD) during an organ procurement (OP) procedure and to assess the knowledge and self-confidence of French anesthesiologists with this practice. Methods An electronic and anonymous survey with closed-...
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doaj-413deb769c634271a195a2e5eccc950f2020-11-25T03:43:04ZengBMCBMC Anesthesiology1471-22532019-06-011911610.1186/s12871-019-0766-yIntraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a French surveyBenoit Champigneulle0Arthur Neuschwander1Régis Bronchard2Gersende Favé3Julien Josserand4Benjamin Lebas5Olivier Bastien6Romain Pirracchio7in collaboration with the SFAR research networkAnesthesiology and Intensive Care Department, European Hospital Georges-Pompidou, Assistance Publique - Hôpitaux de Paris (AP-HP)Anesthesiology and Intensive Care Department, European Hospital Georges-Pompidou, Assistance Publique - Hôpitaux de Paris (AP-HP)Agence de la Biomédecine, Direction Prélèvement Greffe Organes-TissusAnesthesiology and Intensive Care Department, European Hospital Georges-Pompidou, Assistance Publique - Hôpitaux de Paris (AP-HP)Anesthesiology and Intensive Care Department, European Hospital Georges-Pompidou, Assistance Publique - Hôpitaux de Paris (AP-HP)Anesthesiology and Intensive Care Department, Hautepierre HospitalAgence de la Biomédecine, Direction Prélèvement Greffe Organes-TissusAnesthesiology and Intensive Care Department, European Hospital Georges-Pompidou, Assistance Publique - Hôpitaux de Paris (AP-HP)Abstract Background This study aimed at describing usual anesthetic practices for brain-dead donors (BDD) during an organ procurement (OP) procedure and to assess the knowledge and self-confidence of French anesthesiologists with this practice. Methods An electronic and anonymous survey with closed-questions about anesthetic management of BDD was distributed to French anesthesiologists via the mailing list of the French Society of Anesthesiology and Intensive Care Medicine. Results Four hundred fifty-eight responses were analyzed. Respondents were mainly attending physicians with more than 10 years of clinical experience. 78% of them declared being cognizant of guidelines regarding management of BDD. Advanced hemodynamic monitoring and endocrine substitution were rarely considered by respondents (31 and 35% of respondents, respectively). 98% of the respondents used crystalloids for fluid resuscitation. During the procedure, use of neuromuscular blockers, opioids and sedative agents were considered by respectively 84, 61 and 27% of the respondents. A very high level of agreement (10 [8–10], on a ten-points Likert-style scale) was reported concerning the expected impact of intraoperative anesthetic management on the primary function of grafts. Conclusions Declared anesthetic practice appeared in accordance with guidelines concerning organ donor management in the ICU. Further studies are needed to evaluate the specific impact of intraoperative management during this procedure and thus the need for specific anesthetic guidelines.http://link.springer.com/article/10.1186/s12871-019-0766-yAnesthesiaBrain-dead donorsOrgan procurementSurvey |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Benoit Champigneulle Arthur Neuschwander Régis Bronchard Gersende Favé Julien Josserand Benjamin Lebas Olivier Bastien Romain Pirracchio in collaboration with the SFAR research network |
spellingShingle |
Benoit Champigneulle Arthur Neuschwander Régis Bronchard Gersende Favé Julien Josserand Benjamin Lebas Olivier Bastien Romain Pirracchio in collaboration with the SFAR research network Intraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a French survey BMC Anesthesiology Anesthesia Brain-dead donors Organ procurement Survey |
author_facet |
Benoit Champigneulle Arthur Neuschwander Régis Bronchard Gersende Favé Julien Josserand Benjamin Lebas Olivier Bastien Romain Pirracchio in collaboration with the SFAR research network |
author_sort |
Benoit Champigneulle |
title |
Intraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a French survey |
title_short |
Intraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a French survey |
title_full |
Intraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a French survey |
title_fullStr |
Intraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a French survey |
title_full_unstemmed |
Intraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a French survey |
title_sort |
intraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a french survey |
publisher |
BMC |
series |
BMC Anesthesiology |
issn |
1471-2253 |
publishDate |
2019-06-01 |
description |
Abstract Background This study aimed at describing usual anesthetic practices for brain-dead donors (BDD) during an organ procurement (OP) procedure and to assess the knowledge and self-confidence of French anesthesiologists with this practice. Methods An electronic and anonymous survey with closed-questions about anesthetic management of BDD was distributed to French anesthesiologists via the mailing list of the French Society of Anesthesiology and Intensive Care Medicine. Results Four hundred fifty-eight responses were analyzed. Respondents were mainly attending physicians with more than 10 years of clinical experience. 78% of them declared being cognizant of guidelines regarding management of BDD. Advanced hemodynamic monitoring and endocrine substitution were rarely considered by respondents (31 and 35% of respondents, respectively). 98% of the respondents used crystalloids for fluid resuscitation. During the procedure, use of neuromuscular blockers, opioids and sedative agents were considered by respectively 84, 61 and 27% of the respondents. A very high level of agreement (10 [8–10], on a ten-points Likert-style scale) was reported concerning the expected impact of intraoperative anesthetic management on the primary function of grafts. Conclusions Declared anesthetic practice appeared in accordance with guidelines concerning organ donor management in the ICU. Further studies are needed to evaluate the specific impact of intraoperative management during this procedure and thus the need for specific anesthetic guidelines. |
topic |
Anesthesia Brain-dead donors Organ procurement Survey |
url |
http://link.springer.com/article/10.1186/s12871-019-0766-y |
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