Lung Donor Selection and Management

Lung donor selection and management.

Lung transplantation is still limited by the shortage of suitable donor organs. This results in long waiting times for listed patients with a substantial risk (10-15%) of dying before transplantation. All efforts to increase donor awareness through legislation, public campaigns, and training of transplant coordinators and medical ICU staff should be encouraged. Only a minority of cadaveric dono...

Donor Selection and Management of the High-Risk Donor

In light of increasing organ demand in a stable supply setting, prompt and efficacious potential cardiac donor management is of paramount importance. Since the early description of the “ideal” donor by Griepp and associates in 1971 (1), the criteria by which donors are accepted— and the characteristics that determine a “high-risk” donor—have changed substantially (see Tables 1 and 2). Indeed, t...

The MUlti - Organ Donor Selection and Management

Influence of anti-HBc positive organ donor in lung donor selection.

INTRODUCTION The risk of hepatitis B virus (HBV) transmission through donor organs with HBsAg(-) and anti-HBc(+) serology has not been extensively studied in lung transplantation. The objectives of this study are to ascertain the influence of the anti-HBc(+) on the acceptance of the lung for transplantation, to comment on the published literature and to suggest an algorithm for action. METHOD...

Impact of a lung transplantation donor-management protocol on lung donation and recipient outcomes.

RATIONALE One of the limitations associated with lung transplantation is the lack of available organs. OBJECTIVE To determine whether a lung donor-management protocol could increase the number of lungs for transplantation without affecting the survival rates of the recipients. METHODS We implemented the San Antonio Lung Transplant protocol for managing potential lung donors according to mod...