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Critical care specialists,the missing link in organ procurement for transplantation

World Journal of Critical Care Medicine 2024年第2期13卷 1-6页

作者： francisca del rocio gonzalez cohens Fernando M gonzalez Web Intelligence Centre Faculty of Physics and Mathematical SciencesUniversidad de ChileSantiago 8370397Chile Department of Nephrology Faculty of MedicineUniversidad de ChileSantiago 7500922Chile

The procurement process for organ donation begins with the identification of potential organ donors in emergency or critical care units(CCU),followed by their clinical evaluation,diagnostic procedures,and therapeutic interventions,mostly conducted in *** concludes with the request for organ donation and,if accepted,the retrieval of *** most interventions occurring in detection units,there has been a neglect of the strategic role played by critical care specialists(CCS)in managing and caring for brain-dead or near-brain-death *** arise:Are they willing to undertake this responsibility?Do they fully comprehend the nature of organ procurement?Are they aware of the specific interventions required to maintain possible organ donors in optimal physiological condition?Our objective is to examine the role of CCS in organ procurement and propose ways to enhance it,ultimately aiming to increase and enhance organ donation rates.

关键词： Organ procurement Transplantation Brain death Cardiac death Organ donation

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Kidney transplantation outcomes: Is it possible to improve when good results are falling down?

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World Journal of Transplantation 2024年第3期14卷 1-4页

作者： Fernando M gonzalez francisca del Rocío gonzalez cohens Department of Nephrology Faculty of MedicineUniversidad de ChileSantiago 7500922Chile Web Intelligence Centre Faculty of Physics and Mathematical SciencesUniversidad de ChileSantiago 8370397Chile

Famure et al describe that close to 50%of their patients needed early or very early hospital readmissions after their kidney *** they taught us the variables related to those outcomes,we describe eight teaching capsules that may go beyond what they describe in their *** two capsules talk about the ideal donors and recipients we should choose for avoiding the risk of an early *** third and fourth capsules tell us about the reality of cadaveric donors and recipients with comorbidities,and the way transplant physicians should choose them to maximize *** capsule shows that any mistake can result in an early readmission,and thus,in poorer *** capsule talks about economic losses of early readmissions,cost-effectiveness of tran-splantation,and how to improve outcomes and reduce costs by managing a risky *** capsule argues about knowing your risk behavior to better manage your portfolio;and Eighth capsule about the importance of the center experience in transplanting complex *** finish with some lessons of the importance of the transplantation process and the collaboration with other disciplines in order to prevent the conditions that lead to early readmissions.

关键词： Kidney tranplantation Hospitalization Prognostic factors Portfolio theory Transplant

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