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
收藏
页码:124 / 129
页数:6
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