Niewydolność serca i płuc, transplantologia<br>Care of the potential lung donor  – new challenge for the anesthetists in Poland

Paweł Nadziakiewicz; Wojciech Saucha; Jacek Wojarski; Jarosław Wilk; Helena Zakliczyńska; Piotr Knapik; Marian Zembala

eISSN: 1897-4252
ISSN: 1731-5530

Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Contact Instructions for authors Publication charge Ethical standards and procedures

Editorial System

Submit your Manuscript

1/2006
vol. 3

Send email

Copy url:

abstract:

Niewydolność serca i płuc, transplantologia
Care of the potential lung donor – new challenge for the anesthetists in Poland

Paweł Nadziakiewicz

,

Wojciech Saucha

,

Jacek Wojarski

,

Jarosław Wilk

,

Helena Zakliczyńska

,

Piotr Knapik

,

Marian Zembala

Kardiochir Torakochir Pol 2006; 3, 1: 68-72

Online publish date: 2006/05/19

View full text Get citation

EndNote

Papers, Reference Manager, RefWorks, Zotero

AMA

Nadziakiewicz P, Saucha W, Wojarski J, et al. Niewydolność serca i płuc, transplantologiaCare of the potential lung donor  – new challenge for the anesthetists in Poland. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2006;3(1):68-72.

APA

Nadziakiewicz, P., Saucha, W., Wojarski, J., Wilk, J., Zakliczyńska, H.,  & Knapik, P. et al. (2006). Niewydolność serca i płuc, transplantologiaCare of the potential lung donor  – new challenge for the anesthetists in Poland. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 3(1), 68-72.

Chicago

Nadziakiewicz, Paweł, Wojciech Saucha, Jacek Wojarski, Jarosław Wilk, Helena Zakliczyńska, Piotr Knapik,  and Marian Zembala. 2006. "Niewydolność serca i płuc, transplantologiaCare of the potential lung donor  – new challenge for the anesthetists in Poland". Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery 3 (1): 68-72.

Harvard

Nadziakiewicz, P., Saucha, W., Wojarski, J., Wilk, J., Zakliczyńska, H., Knapik, P.,  and Zembala, M. (2006). Niewydolność serca i płuc, transplantologiaCare of the potential lung donor  – new challenge for the anesthetists in Poland. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 3(1), pp.68-72.

MLA

Nadziakiewicz, Paweł et al. "Niewydolność serca i płuc, transplantologiaCare of the potential lung donor  – new challenge for the anesthetists in Poland." Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, vol. 3, no. 1, 2006, pp. 68-72.

Vancouver

Nadziakiewicz P, Saucha W, Wojarski J, Wilk J, Zakliczyńska H, Knapik P et al. Niewydolność serca i płuc, transplantologiaCare of the potential lung donor  – new challenge for the anesthetists in Poland. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2006;3(1):68-72.

Transplantation in general and especially lung transplantations are limited by the shortage of suitable organ donors. Brain death is connected with many potentially harmful reactions. This can adversely affect organ function and initiate lung injury. Brain death is characterized by two hemodynamic phases. Massive sympathetic reaction initially results in hypertensive crisis which is followed by neurogenic hypotension. The systemic and lung inflammation occurs. Donor lung may become injured due to prolonged mechanical ventilation, inappropriate fluid resuscitation, neurogenic pulmonary edema, aspiration pneumonia or nosocomial pneumonia. Optimal care is necessary in the treatment of the potential organ donor to fulfill restrictive criteria for lung retrievement. The approach consists of appropriate ventilation, frequent suctioning of a bronchial tree, brochoscopy, fluid management and hormonal supplementation. In this review we present structured approach to the care of a potential donor. The optimatization of donor management and extension of selection criteria already increased the number of transplanted organs in the recent years. In Poland, continuous efforts should be done because of great disparity between the increasing number of potential recipients and available transplantable organs.

keywords:

Niewydolność serca i płuc, transplantologiaCare of the potential lung donor – new challenge for the anesthetists in Poland

Paweł Nadziakiewicz , Wojciech Saucha , Jacek Wojarski , Jarosław Wilk , Helena Zakliczyńska , Piotr Knapik , Marian Zembala

donor optimization, donor management, lung transplantation

Niewydolność serca i płuc, transplantologia
Care of the potential lung donor – new challenge for the anesthetists in Poland

Paweł Nadziakiewicz

,

Wojciech Saucha

,

Jacek Wojarski

,

Jarosław Wilk

,

Helena Zakliczyńska

,

Piotr Knapik

,

Marian Zembala