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British Journal of Anaesthesia 2008 100(6):738-741; doi:10.1093/bja/aen127
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2008. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Non-heart beating organ donation: in urgent need of intensive care

The first 150 words of the full text of this article appear below.

Cadaveric organ transplantation has evolved over the last 50 yr from experimental undertaking to consistently successful treatment for irreversible disease. Progressive refinement of organ procurement and preservation, surgical technique, perioperative care, and immuno-suppression have all contributed to this success, which has inevitably fuelled demand. Limited donor organ availability is now the greatest barrier to successful transplantation, driving a range of recruitment strategies and creating new challenges. Non-heart beating organ donation (NHBOD), whereby retrieval follows cardio-respiratory death, represents a return to the original source of cadaveric organs, largely abandoned when the brainstem-death concept facilitated retrieval of vital organs at optimal viability. Unmet need and evidence of satisfactory function have, however, prompted piecemeal re-adoption of NHBOD over the last decade.

In this month's journal, Thomas and colleagues1 describe the introduction of NHBOD within a UK neurosciences intensive care unit. Their summary position is that the process appears logistically feasible, generates donor numbers . . . [Full Text of this Article]

M. D. D. Bell

The General Infirmary at Leeds
Great George Street
Leeds LS1 3EX
UK

E-mail: dominic.bell@leedsth.nhs.uk


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This article has been cited by other articles:


Home page
 Br J AnaesthHome page
P. J. Shirley
Debate about non-heart beating organ donation
Br. J. Anaesth., September 1, 2008; 101(3): 431 - 431.
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Principles and Organ Donation
Andrew D Lawson
British Journal of Anaesthesia, 10 Jul 2008 [Full text]