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- W2103442988 abstract "Purpose of review Today, the gap between the number of donor organs available and the number needed is wide and continues to grow. This review discusses recent efforts to maximize the yield of deceased donor organs. Recent findings Aggressive donor management entails liberal use of critical care resources in order to optimize perfusion to the organs of potential donors. In a recent study, aggressive donor management was shown to improve organ donation parameters markedly. Donation after cardiac death involves the use of organs from patients with irreversible neurological injury who never fully progress to brain death. Current efforts centering on the use of extracorporeal membrane oxygenation in conjunction with donation after cardiac death have produced encouraging results. Finally, there has been increased interest in the use of expanded criteria donors, particularly for sicker or elderly recipients with reduced life expectancy. The institution of a formal allocation system for expanded criteria donors organs in 2002 appears to have increased the use of expanded criteria donors organs with no short-term increase in organ related complications. Summary The recent efforts described in this review suggest that meaningful progress is being made on multiple fronts in dealing with the current organ shortage." @default.
- W2103442988 created "2016-06-24" @default.
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- W2103442988 date "2006-04-01" @default.
- W2103442988 modified "2023-09-26" @default.
- W2103442988 title "Aggressive organ donor management: more from less?" @default.
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- W2103442988 doi "https://doi.org/10.1097/01.mot.0000218926.89278.8e" @default.
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