Organ donation after circulatory death.
[Organ donation after circulatory death]. Nervenarzt. 2016 Jan 26; Authors: de Jonge J, Kalisvaart M, van der Hoeven M, Epker J, de Haan J, IJzermans JN, Grüne F Abstract Approximately 17 million inhabitants live in the Netherlands. The number of potential organ donors in 1999 was the lowest in Europe with only 10 donors per million inhabitants. Medical associations, public health services, health insurance companies and the government had to find common solutions in order to improve organ allocation, logistics of donations and to increase the number of transplantations. After a prolonged debate on medical ethical issues of organ transplantation, all participants were able to agree on socio-medico-legal regulations for organ donation and transplantation. In addition to improving the procedure for organ donation after brain death (DBD) the most important step was the introduction of organ donation after circulatory death (DCD). Measures such as the introduction of a national organ donor database, improved information to the public, further education on intensive care units (ICU), guidelines for end of life care on the ICU, establishment of transplantation coordinators on site, introduction of autonomous explantation teams and strict procedures on the course of organ donations, answered many practical issues about logistics and responsibilities for DBD and DCD. In 2014 the number of postmortem organ donations rose to 16.4 per million inhabitants. Mean...
Is it time to re-evaluate the Oxford Classification for IgA nephropathy? This editorial explores the issues.Nephrology Dialysis Transplantation
This study aimed to determine the effects of back massage on postoperative vital signs, pain, and comfort levels in liver transplant patients.MethodsA quasi-experimental model with a pretest, a posttest, and a control group was used. The population of the study comprised adult patients who had liver transplantation for the first time. The study sample comprised 84 adult patients who had liver transplantation: 42 experimental (study group) and 42 control group, selected by power analysis and the random sampling method from the population. The data were collected between May and September 2016 using the short-form McGill Pai...
' High survival benefit'centers are transplanting much sicker candidates and effectively saving more lives with the scarce resource than'low benefit'centers, researchers say.Medscape Medical News
Surgeons at the Cleveland Clinic managed to implant a donor kidney into a patient using a surgical robot, and all through one small incision. The technique, in which instruments as well as the donor kidney can be passed through a four centimeter (1.6...
ConclusionsMarked differences in risk for ESKD across types of donor-recipient relationship were observed for Asian, black, and white donors. These findings warrant further validation with more robust data to better inform clinical practice guidelines.
Conditions: Acute Myeloid Leukemia (AML); Cancer Interventions: Drug: Venetoclax; Drug: Azacitidine; Other: Best Supportive Care (BSC) Sponsor: AbbVie Not yet recruiting
Conditions: Colorectal Cancer; Liver Metastases; Colorectal Liver Metastases Interventions: Procedure: Liver transplantation Ltx; Other: Best alternative care Sponsor: Vastra Gotaland Region Not yet recruiting
Conditions: Allogeneic Hematopoietic Stem Cell Transplant Recipient; Donor; Malignant Neoplasm Intervention: Procedure: Biospecimen Collection Sponsors: City of Hope Medical Center; National Cancer Institute (NCI) Recruiting
We present a reproducible although demanding surgical technique to perform a bipolar fresh osteochondral allograft transplantation of the patella and trochlea.
ConclusionsTherapeutic drug monitoring-guided meropenem may be a sound new therapeutic option in eradicating multidrug resistant Acinetobacter and offer a novel therapeutic option in the field of personalized medicine.