• Prog Transplant · Mar 2000

    Review

    Management of variations in blood pressure during care of organ donors.

    • D J Powner and J M Darby.
    • Rutland Regional Medical Center, Vt., USA.
    • Prog Transplant. 2000 Mar 1; 10 (1): 25-30; quiz 31-2.

    AbstractThe organ procurement coordinator commonly must correct and maintain the arterial blood pressure during donor care. This article reviews considerations in the accurate measurement of the blood pressure, causes of hypertension and hypotension, and desirable standards to use in order to provide adequate organ perfusion. Recommendations are presented for treatment of hypotension in a titrated response of intravenous fluids, inotropic support, and vasopressor infusion to maintain the mean arterial pressure above 65 mm Hg. Collaborative interaction between the coordinator and physician consultant remains important throughout management of blood pressure changes during donor care.

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