The Multi-Organ Donor: Selection and Management

Overview

Although the number of organ transplants performed in the United States reached an all-time high in 1995, the number of organ donors has not increased since the late 1980s. It has become essential that all transplant surgeons and physicians, as well as any health professional in the critical care environment understand the basic principles of the multi-organ donor. The Multi-Organ Donor offers state-of-the-art guidelines for the selection and management of donors, the surgical techniques necessary to perform the ...
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Overview

Although the number of organ transplants performed in the United States reached an all-time high in 1995, the number of organ donors has not increased since the late 1980s. It has become essential that all transplant surgeons and physicians, as well as any health professional in the critical care environment understand the basic principles of the multi-organ donor. The Multi-Organ Donor offers state-of-the-art guidelines for the selection and management of donors, the surgical techniques necessary to perform the procurement procedure safely and expediently, and specific problems associated with each of the individual organs commonly transplanted. The doctrine put forth in this book will go a long way in providing the most organs from a limited supply of donors and will prove to be essential to the future of organ transplantation.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Venkataraman Ramachandran, MD (Washington University School of Medicine)
Description: Acquisition of organs for transplantation from donors is the initial key step in the process of successful engraftment. There is great potential for damage to the organs from excessive delays, improper physiological handling, and less than meticulous surgical technique and preservation. The organ banks in the U.S. have gradually evolved strategies to optimize the process. This book is an excellent compilation of the current practices and principles.
Purpose: Although not stated, clearly the objective is to improve medical knowledge and set standards for multiorgan procurement and preservation.
Audience: The list of authors is a veritable "who's who" in transplantation circles and this is reflected in the quality of the text and its relevance to successful organization of transplant services. This book will be helpful to everyone involved in solid organ transplantation and is especially important in the planning and execution processes of an organ procurement agency. In the third world and in some well-developed countries (like Japan, where the definition of brain death has been delayed) the information presented here will provide for quick development of transplantation services in the most cost-effective manner.
Features: Part I details the procurement process starting from the need for careful planning and management for equitable distribution of transplantable organs. Business management principles are needed to identify areas of problems and points of potential intervention. These issues are well discussed. Separate chapters address legal, practical, ethical, and moral issues. The overview of the process is excellently laid out. The second part describes the individual organ harvest in meticulous detail, making this a valuable book for personnel already undertaking such activities. Non-controversial and well accepted practices are emphasized and current trends mentioned. Well illustrated line diagrams make the information in this part of the book easy to understand for those only occasionally involved.
Assessment: This book is essential and excellent reading for all transplant professionals.
V. Ramachandran
Acquisition of organs for transplantation from donors is the initial key step in the process of successful engraftment. There is great potential for damage to the organs from excessive delays, improper physiological handling, and less than meticulous surgical technique and preservation. The organ banks in the U.S. have gradually evolved strategies to optimize the process. This book is an excellent compilation of the current practices and principles. Although not stated, clearly the objective is to improve medical knowledge and set standards for multiorgan procurement and preservation. The list of authors is a veritable ""who's who"" in transplantation circles and this is reflected in the quality of the text and its relevance to successful organization of transplant services. This book will be helpful to everyone involved in solid organ transplantation and is especially important in the planning and execution processes of an organ procurement agency. In the third world and in some well-developed countries (like Japan, where the definition of brain death has been delayed) the information presented here will provide for quick development of transplantation services in the most cost-effective manner. Part I details the procurement process starting from the need for careful planning and management for equitable distribution of transplantable organs. Business management principles are needed to identify areas of problems and points of potential intervention. These issues are well discussed. Separate chapters address legal, practical, ethical, and moral issues. The overview of the process is excellently laid out. The second part describes the individual organ harvest in meticulousdetail, making this a valuable book for personnel already undertaking such activities. Non-controversial and well accepted practices are emphasized and current trends mentioned. Well illustrated line diagrams make the information in this part of the book easy to understand for those only occasionally involved. This book is essential and excellent reading for all transplant professionals.
Booknews
Nineteen articles by professionals from major transplant centers in the US and Europe provide guidelines for the medical community for the selection and management of multi- organ donors, surgical techniques necessary to perform procurement procedures, and specific problems associated with each of the individual organs commonly transplanted. Annotation c. by Book News, Inc., Portland, Or.

5 Stars! from Doody
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Product Details

  • ISBN-13: 9780865423954
  • Publisher: Wiley, John & Sons, Incorporated
  • Publication date: 11/13/1997
  • Edition number: 1
  • Pages: 400
  • Product dimensions: 7.37 (w) x 10.32 (h) x 1.11 (d)

Table of Contents

Contributors
Foreword
Foreword
Pt. I Organ Procurement: Organization and General Principles in Donor Management 1
1 Introduction: The Organ Donor Dilemma: Assessing the Need for Organ Donors and Methods to Increase the Supply 3
2A Transplant Administration and Organization 19
2B The Role of the Organ Procurement Organization in Transplantation 37
3 Multi-Organ Procurement for Transplantation: Ethical and Religious Issues 59
4 Legal Aspects of Consent for Organ Donation 81
5 Brain Death in Adults 109
6 Management of the Multi-Organ Donor 123
7 Current Status of Organ Preservation 141
8 Overview of Donor Management and Management Algorithms 159
Pt. II Selection and Management of Individual Donor Organs 163
9A Cadaveric Renal Transplantation: Donor Selection and Management 165
9B The Living Kidney Donor 173
10 Pancreas Transplantation 193
11 Donor Procurement for Intestinal Transplantation 221
12A Liver 241
12B The Living Liver Donor 265
13 The Heart Donor 295
14A Lung and Heart-Lung Transplantation 305
14B The Living-Related Donor: Lobar Lung Transplantation 333
15 Musculoskeletal Tissue Transplantation 347
Index 369
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