The role of extracorporeal membrane oxygenation in patients after irreversible cardiac arrest as potential organ donors

The number of people waiting for a kidney or liver transplant is growing systematically. Due to the latest advances in transplantation, persons after irreversible cardiac arrest and confirmation of death have become potential organ donors. It is estimated that they may increase the number of donatio...

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Published in:Kardiochirurgia i torakochirurgia polska 2017-12, Vol.14 (4), p.253-257
Main Authors: Kłosiewicz, Tomasz, Puślecki, Mateusz, Zieliński, Marcin, Mandecki, Michał, Ligowski, Marcin, Stefaniak, Sebastian, Dąbrowski, Marek, Karczewski, Marek, Gąsiorowski, Łukasz, Sip, Maciej, Dąbrowska, Agata, Telec, Wojciech, Perek, Bartłomiej, Jemielity, Marek
Format: Article
Language:English
Subjects:
Blood & organ donations
Cardiac arrest
Extracorporeal membrane oxygenation
Heart diseases
Intensive care units
Liver transplantation
Organ donors
Oxygenation
Perfusion
Respiratory therapy
Review Paper
Transplantation
Transplants & implants
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Summary:The number of people waiting for a kidney or liver transplant is growing systematically. Due to the latest advances in transplantation, persons after irreversible cardiac arrest and confirmation of death have become potential organ donors. It is estimated that they may increase the number of donations by more than 40%. However, without good organization and communication between pre-hospital care providers, emergency departments, intensive care units and transplantation units, it is almost impossible to save the organs of potential donors in good condition. Various systems, including extracorporeal membrane oxygenation (ECMO), supporting perfusion of organs for transplantation play a key role. In 2016 the "ECMO for Greater Poland" program was established. Although its main goal is to improve the survival rate of patients suffering from life-threatening cardiopulmonary conditions, one of its branches aims to increase the donation rate in patients with irreversible cardiac arrest. In this review, the role of ECMO in the latter group as the potential organ donors is presented.
ISSN:1731-5530
1897-4252
DOI:10.5114/kitp.2017.72230