A Survey of Current Procurement Travel Practices, Accident Frequency, and Perceptions of Safety

Schenk, Austin D.; Washburn, W. Kenneth; Adams, Andrew; Lynch, Raymond

doi:10.1097/txd.0000000000000942

Cited by 8 publications

(1 citation statement)

References 10 publications

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“…More alarming data which emerged from the survey demonstrated that 80% of respondents had experienced a "near-miss" event while on a procurement trip, and 15% had been involved in at least one travel-related accident (27). These findings were subsequently supported by a study conducted by a separate team in 2019, in which 23% of surveyed transplant surgeons reported at least one travel accident with bodily injury (28). These risks may be due to the urgent nature of organ procurement, which often requires travel during adverse weather conditions and may result in poor compliance of safety precautions.…”

Section: Lung Procurement and Transportmentioning

confidence: 90%

Advanced considerations in organ donors

Shepherd¹,

Gauthier²,

Kreisel³

et al. 2021

J Thorac Dis

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The rising need for lung transplantation over recent years has not paralleled the availability of suitable lung allografts. The number of lung transplantations performed each year in the United States remains limited by an inadequate supply of suitable donors as well as low donor utilization rates. While several methods have been proposed for increasing the donor pool, there is considerable disparity between acceptance and utilization of these practices among transplant centers. In this review article, we explore various approaches for enhancing donor selection and expanding the donor pool. We discuss the use of "extended criteria" donors including high risk groups such as drug overdose donors, and we examine the role of techniques in donor assessment and selection such as the use of computed tomography for accurate size matching. We review topics in donor management such as the establishment of specialized donor care facilities and the implementation of lung-focused resuscitation protocols, and we discuss advancements in donor procurement such as the utilization of local procurement teams. We also review barriers to donation, such as variability in organ procurement organization (OPO) consent practices, as well as patient-specific factors such as religious or cultural beliefs. Addressing these aspects of donor evaluation, management, and accessibility is essential in maximizing the number of lungs available for transplantation within the existing donor pool.

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Section: Lung Procurement and Transportmentioning

confidence: 90%