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Rev Bras Ter Intensiva · Sep 2011
Guidelines for potential multiple organ donors (adult): part II. Mechanical ventilation, endocrine metabolic management, hematological and infectious aspects.
- Glauco Adrieno Westphal, Milton Caldeira Filho, Kalinca Daberkow Vieira, Viviane Renata Zaclikevis, Miriam Cristine Machado Bartz, Raquel Wanzuita, Alvaro Réa-Neto, Cassiano Teixeira, Cristiano Franke, Fernando Osni Machado, Joel de Andrade, Jorge Dias de Matos, Alfredo Fiorelli, Delson Morilo Lamgaro, Fabiano Nagel, Felipe Dal-Pizzol, Gerson Costa, José Mário Teles, Luiz Henrique Melo, Maria Emília Coelho, Nazah Cherif Mohamed Youssef, Péricles Duarte, and Rafael Lisboa de Souza.
- Rev Bras Ter Intensiva. 2011 Sep 1; 23 (3): 269-82.
AbstractThe role of intensive care specialists in the maintenance of deceased potential donors is not restricted to hemodynamics. Appropriate endocrine-metabolic management is fundamental to maintaining energy support and hydroelectrolytic control, which cooperate for hemodynamic stability. Hematological changes are also important, especially considering the issues caused by inappropriate transfusions. In addition, this article discusses the role of appropriate protective ventilation to prevent inflammatory responses and to provide more transplantable lungs. Finally, judicious assessment of infections and antibiotic therapy is discussed.
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