Open AccessThe role of transplant coordinators in ensuring quality of deceased organ donation
Author(s) -
Mila Laušević,
Milica Kravljača,
Miodrag Milenović,
Marijana Zivkovic,
Voin Brković,
Marija Milinković,
Radomir Naumović
Publication year - 2016
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci1602071l
Subject(s) - medicine , organ donation , intensive care medicine , organ transplantation , transplantation , organ procurement , united network for organ sharing , surgery , liver transplantation
Organ quality depends on variety of factors, including donor characteristics, effects of brain death, donor maintanance, the type of organ perfusion, cold ishaemia time and surgical procedures during organ recovery. Brain death influences on donor hemodynamics, hormone disregulation and consecutive inflammation of donor organs, which leads to organ dysfunction after transplantation. Due to disparity between organ demand and supply, an improvement in the use of allografts from deceased donors that are older, with significant comorbidity, has been observed recently. Assessment regarding deceased donor organ quality is based on donor demographic and clinical characteristics that are related to early and late outcome after transplantation. The transplant coordinator has a role in donor identification and selection, obtaining family consent for organ donation and communication with multidisciplinary teams during organ recovery organisation, which leads to an increased number of available organs and also their quality.