Protocolo de donación tras la muerte cardiaca controlada (donante tipo iii de Maastricht). Experiencia inicial

Kidney Transplants in Controlled Donation Following Circulatory Death, or Maastricht Type III Donors, With Abdominal Normothermic Regional Perfusion, Optimizing Functional Outcomes

“…First, the decision of WLSTs on the grounds of futility is taken by the intensive care team responsible for the patient, according to the preestablished protocol at the Puerta de Hierro-Majadahonda University Hospital. 24 , 25 Once communicated to and accepted by the family, the Transplant Coordination team is contacted to raise the possibility of organ donation. After signing the corresponding informed consents, especially those regarding premortem interventions, several tests are run before donation.…”

Intensive care medicine and organ donation: Exploring the last frontiers?

“…Warm ischemia times of <30---60 min are considered acceptable for liver, lung and pancreas, versus <120 min for kidney---though the concrete times depend on the hospital protocol used in each case. 4,13 The percentage of patients who do not suffer asystolia within the established time limit, and who therefore cannot be used as donors, is estimated to be 17---36% 12,14 ; and (3) donors of this kind produce fewer organs. In the United Kingdom, a brain dead donor generates 3.9 organs on average, versus 2.5 organs in the case of a non-heart beating donor.…”