Extracorporeal life support and multiorgan donation in a severe polytrauma patient: A case report.
作者信息
Balsorano Paolo, Ciapetti Marco, Cianchi Giovanni, Bonizzoli Manuela, Migliaccio Maria Luisa, Ferraro Maria Cristina, Franci Andrea, Peris Adriano
机构信息
Department of Health Science, Section of Anaesthesiology, Intensive Care and Pain medicine, Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.
Anestesiology and Emergency and Trauma Intensive Care Unit, Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.
出版信息
Int J Surg Case Rep. 2015;9:109-11. doi: 10.1016/j.ijscr.2015.02.054. Epub 2015 Mar 4.
INTRODUCTION
Organ availability represents a key factor in transplants due to an almost universal shortage of deceased donors.
PRESENTATION OF CASE
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.
DISCUSSION
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.
CONCLUSION
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.
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