Westphal Glauco Adrieno, Caldeira Filho Milton, Vieira Kalinca Daberkow, Zaclikevis Viviane Renata, Bartz Miriam Cristine Machado, Wanzuita Raquel, Réa-Neto Alvaro, Teixeira Cassiano, Franke Cristiano, Machado Fernando Osni, Andrade Joel de, Matos Jorge Dias de, Gerent Karine Becker, Fiorelli Alfredo, Gonçalves Anderson Ricardo Roman, Ferraz Neto Ben-Hur, Dias Fernando Suparregui, Carvalho Frederico Bruzzi de, Costa Gerson, Camargo José Jesus, Teles José Mário Meira, Maia Marcelo, Nogara Marcelo, Coelho Maria Emília, Mazzali Marilda, Youssef Nazah Cherif Mohamad, Duarte Péricles, Souza Rafael Lisboa de, Fernandes Rogério, Camargo Spencer, Garcia Valter Duro
Rev Bras Ter Intensiva. 2011 Dec;23(4):410-25.
Brain death (BD) alters the pathophysiology of patients and may damage the kidneys, the lungs, the heart and the liver. To obtain better quality transplant organs, intensive care physicians in charge of the maintenance of deceased donors should attentively monitor these organs. Careful hemodynamic, ventilatory and bronchial clearance management minimizes the loss of kidneys and lungs. The evaluation of cardiac function and morphology supports the transplant viability assessment of the heart. The monitoring of liver function, the management of the patient's metabolic status and the evaluation of viral serology are fundamental for organ selection by the transplant teams and for the care of the transplant recipient.