PMID: 11903380Mar 21, 2002Paper

Presentation and outcomes for organ donation in patients with cerebral gunshot wounds

Clinical Transplantation
D H Croezen, T L Van Natta

Abstract

This study was undertaken to examine the presentation and outcomes relative to solid organ donation in patients with fatal cerebral gunshot wounds at a level I trauma center over a 7-year period. A retrospective chart review of patients with such wounds over the years 1993-99 was completed. Eighty (80) patients were considered potential solid organ donors. Of these, 28 (35%) became organ donors, yielding 97 transplantable organs. Ninety-six percent presented with a GCS of less than 6. Mean SBP on presentation was 130, ranging from 48 to 225. Median time from presentation to death was 18 hours. Intravenous fluids given over the first 6 hours averaged 4.3 liters. Pressors were required in 68% of cases, blood products in 34%. Consent rate for donation was 32% when requested by a physician and 59% when requested by an organ procurement organization (OPO) co-ordinator. No request was made in 15 cases. Patients with fatal cerebral gunshot wounds, but with solid organ donor potential, have a characteristic presentation. Those with hemodynamic stability and those whose hypotension responds promptly to treatment can be expected to have a donor potential despite their devastating brain injury. Minimal time and resources are required to s...Continue Reading

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Citations

Oct 15, 2013·American Journal of Surgery·Bellal JosephPeter Rhee
Feb 21, 2009·Journal of the American College of Surgeons·Deborah M SteinThomas M Scalea
Dec 15, 2010·American Journal of Surgery·Aaron BrodyAngela Sauaia
Mar 20, 2018·The Journal of Trauma and Acute Care Surgery·Adam CameronRobert S Green
Sep 25, 2014·The Journal of Trauma and Acute Care Surgery·Bellal JosephPeter Rhee
Apr 22, 2014·The Journal of Trauma and Acute Care Surgery·Bellal JosephPeter Rhee

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