Soins; la revue de référence infirmière
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The procurement of organs from donors after circulatory death is a reliable technique which gives satisfactory posttransplant results and also represents a potential source of additional organs. In order to meet the growing need for organ donations, the 'anticipated organ donation approach' procedure is currently receiving renewed interest with new conditions for its implementation in France.
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Since the end of 2014 in France, it has been possible to remove organs after a process of cessation of active treatment. This new procedure requires rigorous and well-managed organisation, as well as close collaboration between all those involved in the care, notably in the coordination of organ and tissue procurement.
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A practice authorised in France for some years, organ and tissue donation from a circulatory death donor must follow a specific medical process. It is an extreme emergency to be managed within a few minutes, and in which the organ donation nurse coordinator plays a key role in the hospital.
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The anticipated organ donation approach aims to increase the number of donors and transplants. This approach requires a procedural framework. It also helps the families begin their grieving process, without any added suffering.