Best Practices for Intensivists Planning and Opening Hospital-Based Deceased Organ Donor Care Units

CHEST critical care Pub Date : 2024-11-08 DOI:10.1016/j.chstcc.2024.100110

Emily A. Vail MD , Rita N. Bakhru MD , Ashley C. McGinity MD , Todd Sarge MD , Julie K. Heimbach MD , Allison J. Tompeck MD , Thomas M. Leventhal MD , Devang K. Sanghavi MBBS, MD , George W. Williams III MD , Rishi Kumar MD , Philip Sommer MD , Niels D. Martin MD , Samuel T. Windham MD , Varun K. Goyal MD , Donor Care Unit Network for Optimizing Recovery Group

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Abstract

Over the past 2 decades, clinical management and recovery of organs from deceased donors in the United States increasingly have been centralized into specialty donor care units. Intensivists who lead or practice in donor care units colocated with hospitals (or hospital-based donor care units) are well positioned to offer operational experience, to deliver evidence-based clinical donor management, and to leverage hospital resources to facilitate research and education efforts to improve access to transplantable organs. In this How I Do It article, intensivist leaders of 11 US donor care units collaborating in the Donor Care Unit Network for Optimizing Recovery group describe the benefits and limitations of hospital-based donor care units and collate resources and shared experiences to inform planning and opening of other hospital-based donor care units.

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重症医师规划和开设以医院为基础的死者器官捐献护理单位的最佳实践

在过去的20年里，美国的临床管理和器官回收越来越多地集中到专业的捐赠者护理单位。在与医院（或以医院为基础的供体护理单位）合作的供体护理单位领导或实践的重症监护医师能够很好地提供操作经验，提供循证临床供体管理，并利用医院资源促进研究和教育工作，以改善可移植器官的获取。在这篇文章中，美国11个供体护理单位的重症监护医师领导在供体护理单位网络优化康复小组中合作，描述了以医院为基础的供体护理单位的优点和局限性，并整理了资源和分享经验，为其他以医院为基础的供体护理单位的规划和开放提供信息。

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CHEST critical care Critical Care and Intensive Care Medicine, Pulmonary and Respiratory Medicine

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