An Analysis of the Clinical Status of the Brain Death Donors. |
Kyu Taek Choi, Yu Mee Lee, Kyu Wan Seong, Cheong Lee, Dong Myung Lee, Byung Te Suh, Seung Gyu Lee, Hea Seon Ha |
1Department of Anesthesiology, College of Medicine, University of Ulsan, Seoul, Korea. 2Department of Surgery, College of Medicine, University of Ulsan, Seoul, Korea. 3Department of Asan Medical Center Organ Transplant Program, College of Medicine, University of Ulsan, Seoul, Korea. |
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Abstract |
BACKGROUND Since the first successful kidney transplantation from a brain death donor (BDD) was done in 1979, organ transplantations from BDD have steadily increased. The number of BDDs have been increasing year by year. The purpose of this study is to analyze clinical status of organ donor from BDDs. METHODS We analyzed retrospectively the status of BDDs registerd for organ transplant program in Asan Medical Center from January, 1992 to March, 1997. RESULTS The male to female ratio was 3 : 1, and the age distribution was the highest in twenties. The distribution of cause of brain death was the highest in motor vehicle accidents. The distribution of acquired organ was the highest in kidney, heart, liver in order. The distribution of days stayed in ICU before organ donation was the highest in 2 days. The choice of agent for inotropic support of the myocardium is dobutamine. The donors have been transfused with packed red blood cell (PRBC) to maintain the hematocrit between 25~35%. Two units of PRBC should be readily available at all times for transfusion. The failure of organ donation was mainly very poor organ condition. CONCLUSIONS We wish that these results were made use of bases of status of organ donation from BDDs. |
Key Words:
Brain death: Organ donation; Transplantation |
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