-
Special Article
Brazilian guidelines for the management of brain-dead potential organ donors. The task force of the Associação de Medicina Intensiva Brasileira, Associação Brasileira de Transplantes de Órgãos, Brazilian Research in Critical Care Network, and the General Coordination of the National Transplant System
- Glauco Adrieno Westphal
, - Caroline Cabral Robinson,
- Alexandre Biasi Cavalcanti ,
- Anderson Ricardo Roman Gonçalves,
- Cátia Moreira Guterres, [ ... ],
- Maicon Falavigna
04-19-2021
Abstract
Special ArticleBrazilian guidelines for the management of brain-dead potential organ donors. The task force of the Associação de Medicina Intensiva Brasileira, Associação Brasileira de Transplantes de Órgãos, Brazilian Research in Critical Care Network, and the General Coordination of the National Transplant System
Revista Brasileira de Terapia Intensiva. 2021;33(1):1-11
04-19-2021DOI 10.5935/0103-507X.20210001
- Glauco Adrieno Westphal ,
- Caroline Cabral Robinson,
- Alexandre Biasi Cavalcanti ,
- Anderson Ricardo Roman Gonçalves,
- Cátia Moreira Guterres,
- Cassiano Teixeira ,
- Cinara Stein,
- Cristiano Augusto Franke,
- Daiana Barbosa da Silva,
- Daniela Ferreira Salomão Pontes,
- Diego Silva Leite Nunes,
- Edson Abdala,
- Felipe Dal-Pizzol ,
- Fernando Augusto Bozza ,
- Flávia Ribeiro Machado,
- Joel de Andrade,
- Luciane Nascimento Cruz,
- Luciano César Pontes Azevedo,
- Miriam Cristine Vahl Machado,
- Regis Goulart Rosa ,
- Roberto Ceratti Manfro,
- Rosana Reis Nothen,
- Suzana Margareth Lobo,
- Tatiana Helena Rech ,
- Thiago Costa Lisboa,
- Verônica Colpani,
- Maicon Falavigna
Views111See moreAbstract
Objective:
To contribute to updating the recommendations for brain-dead potential organ donor management.
Methods:
A group of 27 experts, including intensivists, transplant coordinators, transplant surgeons, and epidemiologists, answered questions related to the following topics were divided into mechanical ventilation, hemodynamics, endocrine-metabolic management, infection, body temperature, blood transfusion, and checklists use. The outcomes considered were cardiac arrests, number of organs removed or transplanted as well as function / survival of transplanted organs. The quality of evidence of the recommendations was assessed using the Grading of Recommendations Assessment, Development, and Evaluation system to classify the recommendations.
Results:
A total of 19 recommendations were drawn from the expert panel. Of these, 7 were classified as strong, 11 as weak and 1 was considered a good clinical practice.
Conclusion:
Despite the agreement among panel members on most recommendations, the grade of recommendation was mostly weak.
Views111
Abstract
Special ArticleBrazilian guidelines for the management of brain-dead potential organ donors. The task force of the Associação de Medicina Intensiva Brasileira, Associação Brasileira de Transplantes de Órgãos, Brazilian Research in Critical Care Network, and the General Coordination of the National Transplant System
Revista Brasileira de Terapia Intensiva. 2021;33(1):1-11
04-19-2021DOI 10.5935/0103-507X.20210001
- Glauco Adrieno Westphal ,
- Caroline Cabral Robinson,
- Alexandre Biasi Cavalcanti ,
- Anderson Ricardo Roman Gonçalves,
- Cátia Moreira Guterres,
- Cassiano Teixeira ,
- Cinara Stein,
- Cristiano Augusto Franke,
- Daiana Barbosa da Silva,
- Daniela Ferreira Salomão Pontes,
- Diego Silva Leite Nunes,
- Edson Abdala,
- Felipe Dal-Pizzol ,
- Fernando Augusto Bozza ,
- Flávia Ribeiro Machado,
- Joel de Andrade,
- Luciane Nascimento Cruz,
- Luciano César Pontes Azevedo,
- Miriam Cristine Vahl Machado,
- Regis Goulart Rosa ,
- Roberto Ceratti Manfro,
- Rosana Reis Nothen,
- Suzana Margareth Lobo,
- Tatiana Helena Rech ,
- Thiago Costa Lisboa,
- Verônica Colpani,
- Maicon Falavigna
Views111See moreAbstract
Objective:
To contribute to updating the recommendations for brain-dead potential organ donor management.
Methods:
A group of 27 experts, including intensivists, transplant coordinators, transplant surgeons, and epidemiologists, answered questions related to the following topics were divided into mechanical ventilation, hemodynamics, endocrine-metabolic management, infection, body temperature, blood transfusion, and checklists use. The outcomes considered were cardiac arrests, number of organs removed or transplanted as well as function / survival of transplanted organs. The quality of evidence of the recommendations was assessed using the Grading of Recommendations Assessment, Development, and Evaluation system to classify the recommendations.
Results:
A total of 19 recommendations were drawn from the expert panel. Of these, 7 were classified as strong, 11 as weak and 1 was considered a good clinical practice.
Conclusion:
Despite the agreement among panel members on most recommendations, the grade of recommendation was mostly weak.
- Glauco Adrieno Westphal
-
Original Articles
Analysis of knowledge of the general population and health professionals on organ donation after cardiac death
Revista Brasileira de Terapia Intensiva. 2016;28(3):285-293
09-09-2016
Abstract
Original ArticlesAnalysis of knowledge of the general population and health professionals on organ donation after cardiac death
Revista Brasileira de Terapia Intensiva. 2016;28(3):285-293
09-09-2016DOI 10.5935/0103-507X.20160043
Views12ABSTRACT
Objective:
To evaluate the knowledge and acceptance of the public and professionals working in intensive care units regarding organ donation after cardiac death.
Methods:
The three hospitals with the most brain death notifications in Curitiba were selected, and two groups of respondents were established for application of the same questionnaire: the general public (i.e., visitors of patients in intensive care units) and health professionals working in the same intensive care unit. The questionnaire contained questions concerning demographics, intention to donate organs and knowledge of current legislation regarding brain death and donation after cardiac death.
Results:
In total, 543 questionnaires were collected, including 442 from family members and 101 from health professionals. There was a predominance of women and Catholics in both groups. More females intended to donate. Health professionals performed better in the knowledge comparison. The intention to donate organs was significantly higher in the health professionals group (p = 0.01). There was no significant difference in the intention to donate in terms of education level or income. There was a greater acceptance of donation after uncontrolled cardiac death among Catholics than among evangelicals (p < 0.001).
Conclusion:
Most of the general population intended to donate, with greater intentions expressed by females. Education and income did not affect the decision. The type of transplant that used a donation after uncontrolled cardiac death was not well accepted in the study population, indicating the need for more clarification for its use in our setting.
Keywords:intensive care unitsOrgan donationPublic healthPublic opinionTissue and organ procurementTransplantationSee moreViews12Abstract
Original ArticlesAnalysis of knowledge of the general population and health professionals on organ donation after cardiac death
Revista Brasileira de Terapia Intensiva. 2016;28(3):285-293
09-09-2016DOI 10.5935/0103-507X.20160043
Views12ABSTRACT
Objective:
To evaluate the knowledge and acceptance of the public and professionals working in intensive care units regarding organ donation after cardiac death.
Methods:
The three hospitals with the most brain death notifications in Curitiba were selected, and two groups of respondents were established for application of the same questionnaire: the general public (i.e., visitors of patients in intensive care units) and health professionals working in the same intensive care unit. The questionnaire contained questions concerning demographics, intention to donate organs and knowledge of current legislation regarding brain death and donation after cardiac death.
Results:
In total, 543 questionnaires were collected, including 442 from family members and 101 from health professionals. There was a predominance of women and Catholics in both groups. More females intended to donate. Health professionals performed better in the knowledge comparison. The intention to donate organs was significantly higher in the health professionals group (p = 0.01). There was no significant difference in the intention to donate in terms of education level or income. There was a greater acceptance of donation after uncontrolled cardiac death among Catholics than among evangelicals (p < 0.001).
Conclusion:
Most of the general population intended to donate, with greater intentions expressed by females. Education and income did not affect the decision. The type of transplant that used a donation after uncontrolled cardiac death was not well accepted in the study population, indicating the need for more clarification for its use in our setting.
Keywords:intensive care unitsOrgan donationPublic healthPublic opinionTissue and organ procurementTransplantationSee more -
Artigos de Revisão
Family approach and consent for organ donation
Revista Brasileira de Terapia Intensiva. 2007;19(1):85-89
10-23-2007
Abstract
Artigos de RevisãoFamily approach and consent for organ donation
Revista Brasileira de Terapia Intensiva. 2007;19(1):85-89
10-23-2007DOI 10.1590/S0103-507X2007000100011
Views16See moreBACKGROUND AND OBJECTIVES: Since organ transplantation has become the treatment of choice for several end-stage diseases, organ shortage is the most important barrier for the procedures and waiting lists are increasing out of proportion. The objective of this study was to review the best practices concerning family referral and how these issues and others aspects of the donation process can influence consent rates. CONTENTS: Despite the growing number of live donors, the brain death donor continuous to be the major source of organs for transplantation and the only source of extra-renal organs. Many problems have been identified in the donation process, including non-identification of the brain death donor, inadequate care of the donors and family refusal to donation. Increasing the consent rate for donation seems to be a good alternative to reduce organ shortage. CONCLUSIONS: Family decision to donate organs is influenced by several aspects. Highly trained professionals in family referral can affect consent rates.
Views16Abstract
Artigos de RevisãoFamily approach and consent for organ donation
Revista Brasileira de Terapia Intensiva. 2007;19(1):85-89
10-23-2007DOI 10.1590/S0103-507X2007000100011
Views16See moreBACKGROUND AND OBJECTIVES: Since organ transplantation has become the treatment of choice for several end-stage diseases, organ shortage is the most important barrier for the procedures and waiting lists are increasing out of proportion. The objective of this study was to review the best practices concerning family referral and how these issues and others aspects of the donation process can influence consent rates. CONTENTS: Despite the growing number of live donors, the brain death donor continuous to be the major source of organs for transplantation and the only source of extra-renal organs. Many problems have been identified in the donation process, including non-identification of the brain death donor, inadequate care of the donors and family refusal to donation. Increasing the consent rate for donation seems to be a good alternative to reduce organ shortage. CONCLUSIONS: Family decision to donate organs is influenced by several aspects. Highly trained professionals in family referral can affect consent rates.
Organ donation Archives - Critical Care Science (CCS)
