The complex care of the organ donor during preparation for organ removal and provision of the best organs for transplantation is often the responsibility of the organ procurement coordinator. To assist in that process the following clinical problem-based guidelines have been developed. A standard order set is recommended to initiate treatment and to provide a continuing laboratory database. As clinical concerns arise from that database, past medical history, or ongoing donor care, section of these guidelines may serve as references for specific interventions. Physician consultation and collaboration with other bedside care providers are encouraged throughout.
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References
1.
PownerDJDarbyJM. Management of variations in blood pressure during care of organ donors. Prog Transplant.2000;10:25–32.
2.
PownerDJDarbyJMStuartSA. Recommendations for mechanical ventilation during donor care. Prog Transplant.2000;10:33–40.
3.
PownerDJKellumJADarbyJM. Abnormalities in fluids, electrolytes, and metabolism of organ donors. Prog Transplant.2000;10:88–96.
4.
PownerDJKellumJA. Maintaining acid-base balance in organ donors. Prog Transplant.2000;10:98–105.
5.
PownerDJReichHS. Regulation of coagulation abnormalities and temperature in organ donors. Prog Transplant.2000;10:146–153.
6.
PownerDJDelgado. Using pressure-limited mechanical ventilation in caring for organ donors. Prog Transplant.2001;11:174–181.
7.
PownerDJCrommettJW. Advanced assessment of hemodynamic parameters during donor care. Prog Transplant.2003;13:249–255.
8.
FesslerHEShadeD. Measurement of vascular pressures. In: TobinMJ, ed. Principles and Practice of Intensive Care Monitoring.New York, NY: McCraw-Hill; 1998:91–106.
9.
BurAHerknerHVlcekM. Factors influencing the accuracy of oscillometric blood pressure measurement in critically ill patients. Crit Care Med.2003;31:793–799.
