Feasibility of out-of-hospital management of non-heart-beating donors in Seine-Saint-Denis: One year retrospective study

被引：12

作者：

Adnet, F. ^{[1
]}

Dufau, R. ^{[1
]}

Roussin, F. ^{[2
]}

Antoine, C. ^{[3
]}

Fieux, F. ^{[2
]}

Lapostolle, F. ^{[1
]}

Chanzy, E. ^{[1
]}

Jacob, L. ^{[2
]}

机构：

[1] Univ Paris 13, Hop Avicenne, AP HP, EA 3409, F-93000 Bobigny, France

[2] Hop St Louis, AP HP, Dept Anesthesie & Reanimat, F-75010 Paris, France

[3] Hop St Louis, AP HP, Serv Nephrol, F-75010 Paris, France

来源：

ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 2009年 / 28卷 / 02期

关键词：

Non-heart-beating donnors; Samu; Prehospital; EXTRACORPOREAL LIFE-SUPPORT; CARDIAC-ARREST; CARDIOPULMONARY-RESUSCITATION; TRANSPLANTATION; EPINEPHRINE; RECIPIENTS; MORTALITY; DIALYSIS; DONATION; EMS;

D O I：

10.1016/j.annfar.2008.11.021

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The use of non-heart-beating donors (NHBD) could help shorten the list of patients who are waiting for a kidney transplant. The aim of this study was to evaluate efficiency of prehospital management of non-heart-beating donors in Seine-Saint-Denis area. We performed a retrospective cohort study of non-heart-beating donor managed by prehospital medical team of Samu 93 from February 2007 to January 2008. There were 28 non-heart-beating donors included consecutively. Twenty-five NHBD (89%) were canuled by Gillot probe within 150 min from patient collapse. Fourteen NHBD were harvested and 17 kidneys were transplanted. Six-month survival rate for NHBD grafts was 94%. In the same time, eight brain dead donors were managed by Samu 93 and were harvested leading to transplant 16 kidneys. Finally, 50% of overall kidney transplant activity in Seine-Saint-Denis was provided by NHBD grafts. (C) 2008 Elsevier Masson SAS. All rights reserved.

引用

页码：124 / 129

页数：6

共 24 条

[1]

*AG BIOM, 2006, COND RESP REAL PREL

[2]

*AG BIOM, 2006, RAPP ACT 2006 BIL AC

[3]

ANTOINE C, 2007, COMMUNICATION

[4]

Ben Ammar MS, 2004, ETHIQUE SANTE, V1, P211

[5] Donation after cardiac death: perspective of recruiting by French EMS system [J].

Burnod, A. ;

Ricard-Hibon, A. ;

Duchateau, F. -X. ;

Paugam-Burtz, C. ;

Mantz, J. .

ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION, 2006, 25 (10) :1087-1088

[6] Organ procurement from non-heart-beating donors [J].

Cabrol, Christian .

BULLETIN DE L ACADEMIE NATIONALE DE MEDECINE, 2007, 191 (03) :633-638

[7] Analysis of the outcome for patients experiencing myocardial infarction and cardiopulmonary resuscitation refractory to conventional therapies necessitating extracorporeal life support rescue [J].

Chen, JS ;

Ko, WJ ;

Yu, HY ;

Lai, LP ;

Huang, SC ;

Chi, NH ;

Tsai, CH ;

Wang, SS ;

Lin, FY ;

Chen, YS .

CRITICAL CARE MEDICINE, 2006, 34 (04) :950-957

[8] Transplantation of kidneys from donors whose hearts have stopped beating [J].

Cho, YW ;

Terasaki, PI ;

Cecka, JM ;

Gjertson, DW .

NEW ENGLAND JOURNAL OF MEDICINE, 1998, 338 (04) :221-225

[9] Prehospital management by EMS of a potential non-heart-beating donor [J].

Duchateau, F.-X. ;

Burnod, A. ;

Le Breton, S. ;

Ricard-Hibon, A. ;

Mantz, J. .

ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION, 2007, 26 (10) :859-861

[10]

GUERRIER M, 2006, PRELEVEMENTS COEUR A

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