Extracorporeal life support and multiorgan donation in a severe polytrauma patient: A case report

International Journal of Surgery Case Reports
Paolo BalsoranoA Peris

Abstract

Organ availability represents a key factor in transplants due to an almost universal shortage of deceased donors. We present the case of a 41-year-old patients with severe polytrauma, where extracorporeal life support (ECLS) allowed brain death (BD) declaration and multiorgan retrieval and transplantation. Organ procurement is of utmost importance for transplant procedures. The presented case could rise ethical doubts as ECLS could be viewed as a tool for organ preservation instead of patient support. Nonetheless, it is obvious how organ preservation represents the necessary condition for patient preservation. Besides it' role in non heart beating donors, ECLS is emerging as an adjunctive tool for brain dead donors management when standard treatment fails, potentially allowing a substantial increase in organ availability.

References

Sep 26, 2008·Journal of Intensive Care Medicine·Joseph DuBose, Ali Salim
Apr 10, 2010·Resuscitation·Matthias ArltChristof Schmid

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Citations

Mar 19, 2016·Transplant International : Official Journal of the European Society for Organ Transplantation·Anne L Dalle AveDavid M Shaw
Nov 5, 2015·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Gopal SinghHiroo Takayama
Nov 5, 2016·Current Opinion in Critical Care·David Zonies, Matthias Merkel
Jul 23, 2021·Critical Care : the Official Journal of the Critical Care Forum·Alexandra SchouMarc Sørensen

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