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Donation after circulatory death

机译：循环死亡后的捐赠

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Circulatory death is defined as the "irreversible cessation of circulatory and respiratory functions." In Donation after Circulatory Death (DCD) procurement, donor death is diagnosed by the assessment of electrocardiography and monitoring the arterial pulse for cessation of heartbeat. There are three circumstances in which organs become available for procurement: patient death determined by neurologic criteria (brain death), patient death determined by circulatory or cardiopulmonary criteria (DCD), or relatively healthy adults who voluntarily donate a single kidney, portion of a liver, or portion of a lung to a patient in need. The new procedure of allowing family presence in the OR applies to DCD procurement procedures only. Organ offers are sent out to transplant programs with details of the impending recovery once a patient has been deemed appropriate for organ donation and authorization has been obtained. Specific recovery contingencies must be met in order to protect the recipients and to provide them the best transplant outcomes. The OR process for organ procurement at OSF Saint Francis Medical Center utilized two rooms during the donation process. The family was with the patient in the first unster-ile OR while a separate OR was being prepared One of the transplant surgeons called the simulation an eye-opening event because of the opportunity to see the emotional aspects of this process, which had only seemed technical before the simulation. Staff involvement in creating their own method of draping that would provide comfort for both the family and staff served as an example of how they embraced this unique change. There have been 10 DCDs since implementation of the new procedure, each case is thoroughly reviewed, and feedback is obtained from those involved.
机译：循环死亡被定义为“循环和呼吸功能的不可逆转的停止”。在购买“循环死亡后捐赠（DCD）”中，通过评估心电图并监测动脉搏动是否停止来诊断捐赠者死亡。在三种情况下，可以获取器官：通过神经系统标准确定的患者死亡（脑死亡），通过循环或心肺标准（DCD）确定的患者死亡或自愿捐献单个肾脏，部分肝脏的相对健康的成年人或需要治疗的病人的肺部。在OR中允许家庭存在的新程序仅适用于DCD采购程序。一旦认为患者适合器官捐赠并获得授权，就会将器官报价发送给移植计划，并附上即将恢复的详细信息。必须满足特定的恢复意外情况，以保护受体并为他们提供最佳的移植效果。 OSF圣弗朗西斯医学中心的器官采购手术流程在捐赠过程中使用了两个房间。一家人在第一个非无菌手术室中与病人在一起，而正在准备一个单独的手术室，其中一位移植外科医师称模拟为大开眼界，因为有机会看到这一过程的情感方面，这似乎只是模拟之前的技术。员工参与创建自己的装饰方法，这将为家庭和员工提供舒适感，这是他们如何接受这一独特变化的一个例证。自实施新程序以来，已经有10个DCD，每个案例都经过了彻底审查，并从相关人员那里获得了反馈。

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