When Operating on Dead People Saves Lives: Benefits of Surgical Organ Donor Intensivists
Solid organ transplantation has emerged as a life-saving treatment for many patients suffering from end-stage organ failure. Organs have been successfully recovered after a variety of aggressive interventions. We propose that decompressive laparotomy, when clinically indicated, should be considered...
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2015-01-01
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Series: | Case Reports in Surgery |
Online Access: | http://dx.doi.org/10.1155/2015/608673 |
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doaj-a7171c8afae44152ae31d20f7d7aebed2020-11-25T00:06:42ZengHindawi LimitedCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/608673608673When Operating on Dead People Saves Lives: Benefits of Surgical Organ Donor IntensivistsKristin Long0Cynthia Talley1Rebecca B. Yarrison2Andrew Bernard3University of Kentucky Department of Surgery, Lexington, KY 40536, USADivision of Trauma & Acute Care Surgery, Department of Surgery, University of Kentucky, Lexington, KY 40536, USAUniversity of Kentucky Department of Medicine, Bioethics, Lexington, KY 40536, USADivision of Trauma & Acute Care Surgery, Department of Surgery, University of Kentucky, Lexington, KY 40536, USASolid organ transplantation has emerged as a life-saving treatment for many patients suffering from end-stage organ failure. Organs have been successfully recovered after a variety of aggressive interventions. We propose that decompressive laparotomy, when clinically indicated, should be considered in the aggressive resuscitation of potential organ donors. A thorough literature review examining aggressive interventions on potential organ donors was conducted after experience with a unique case at this institution. Articles were reviewed for the types of interventions performed as well as the time frame in relation to organ donation. In our case, several ethical issues were raised when considering decompressive laparotomy in a patient pronounced dead by neurologic criteria. We propose that having a surgical intensivist involved in the management of potential donors will further increase the salvage rate, as more invasive resuscitation options are possible.http://dx.doi.org/10.1155/2015/608673 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kristin Long Cynthia Talley Rebecca B. Yarrison Andrew Bernard |
spellingShingle |
Kristin Long Cynthia Talley Rebecca B. Yarrison Andrew Bernard When Operating on Dead People Saves Lives: Benefits of Surgical Organ Donor Intensivists Case Reports in Surgery |
author_facet |
Kristin Long Cynthia Talley Rebecca B. Yarrison Andrew Bernard |
author_sort |
Kristin Long |
title |
When Operating on Dead People Saves Lives: Benefits of Surgical Organ Donor Intensivists |
title_short |
When Operating on Dead People Saves Lives: Benefits of Surgical Organ Donor Intensivists |
title_full |
When Operating on Dead People Saves Lives: Benefits of Surgical Organ Donor Intensivists |
title_fullStr |
When Operating on Dead People Saves Lives: Benefits of Surgical Organ Donor Intensivists |
title_full_unstemmed |
When Operating on Dead People Saves Lives: Benefits of Surgical Organ Donor Intensivists |
title_sort |
when operating on dead people saves lives: benefits of surgical organ donor intensivists |
publisher |
Hindawi Limited |
series |
Case Reports in Surgery |
issn |
2090-6900 2090-6919 |
publishDate |
2015-01-01 |
description |
Solid organ transplantation has emerged as a life-saving treatment for many patients suffering from end-stage organ failure. Organs have been successfully recovered after a variety of aggressive interventions. We propose that decompressive laparotomy, when clinically indicated, should be considered in the aggressive resuscitation of potential organ donors. A thorough literature review examining aggressive interventions on potential organ donors was conducted after experience with a unique case at this institution. Articles were reviewed for the types of interventions performed as well as the time frame in relation to organ donation. In our case, several ethical issues were raised when considering decompressive laparotomy in a patient pronounced dead by neurologic criteria. We propose that having a surgical intensivist involved in the management of potential donors will further increase the salvage rate, as more invasive resuscitation options are possible. |
url |
http://dx.doi.org/10.1155/2015/608673 |
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