Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
You currently have no recent searches
Rudich, Steven M1; Arenas, Juan D1; Magee, John C1; Bartlett, Robert H1; Punch, Jeffrey D1
1General Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Background: We have initiated a non-heart-beating (NHB) donor program using extracorporeal membrane oxygenation (ECMO) as a means to not only decrease warm ischemic times, but also to resuscitate and restore normal hemodynamics during NHB donation.
Purpose: To describe the technique for ECMO-supported NHB organ donation and to review donor characteristics.
Methods: Normothermic, venous-arterial ECMO was used to preserve normal hemodynamics after confirmation of cardio-pulmonary death in 5 NHB organ donor candidates. A retrospective chart review was performed of ECMO-specific parameters and donor characteristics.
Results: The donor group comprised 3 males and 2 females, with an age range of 17 to 45 yrs. Eighty percent became severely brain injured as a result of a closed head injury. The median time required to place the ECMO cannulas was 45 mins (range 40 to 63 mins). All patients succumbed to cardio-pulmonary demise within 13 mins of extubation. The ECMO circuit was started at the declaration of donor death, after cannulas were placed while the donor still had cardiac function. Once started, the ECMO circuit continued until the patient was brought to the operating room and aortic cross-clamping was performed. Surgical procurement then commenced as in a routine heart-beating donor.
Conclusions: The use of ECMO support during NHB organ donation has many advantages as compared to standard flush techniques, the most pertinent being the ability to restore normal hemodynamics and perfusion to transplantable organs prior to procurement.
Copyright © 2002 by the American Society for Artificial Internal Organs
Colleague's E-mail is Invalid
Your Name: (optional)
Separate multiple e-mails with a (;).
Thought you might appreciate this item(s) I saw at ASAIO Journal.
Send a copy to your email
Your message has been successfully sent to your colleague.
Some error has occurred while processing your request. Please try after some time.
An Existing Folder
A New Folder
The item(s) has been successfully added to "".
Login with your LWW Journals username and password.
Username or Email:
Enter and submit the email address you registered with. An email with instructions to reset your password will be sent to that address.
Link to reset your password has been sent to specified email address.
What does "Remember me" mean?
By checking this box, you'll stay logged in for
days or until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Save my selection