Acta Pediátrica Española

ISSN 2014-2986

Información adicional

  • Num_publicacion 78(3-4)
  • Resumen_ingles

    Currently, organ donation rates are insufficient to cover the transplant needs in our population. This has led to the design of a hospital program of organ donation after circulatory determination of death (Maastricht type III donation). Potential donors for this program are those whose vital support is decided to withdraw due to their very severe vital prognosis, given that there is not medical contraindication and the family is not opposed to the donation. These patients will die within 2 hours of withdrawing their ventilatory and circulatory support.
    Although the main source of organ recovery for transplantation must still be patients with brain death, organ donation after circulatory determination of death offers more chances for obtaining organs (especially kidneys) and tissues. This situation requires a multidisciplinary team, specific techniques and hospital guidelines and protocols for this donation process. This must be protocoled following the guidelines of the ONT (Organización Nacional de Trasplantes) and the OCATT (Organització Catalana de Trasplantaments).
    We report the case of a patient treated in the paediatric ICU for acute intracranial hypertension related to cerebral venous thrombosis in the setting of an acute middle ear infection. The severe clinical situation evolved to withdrawal of life support. She became donor as a type III in the Maastricht donor classification. To the best of our knowledge, this is the first case of asystole donation in a paediatric ICU in Catalonia.

  • Palabras_clave_ingles Circulatory determination of death paediatrics organ transplantation catastrophic brain injury child
  • Todos_autores E. Coca Férnandez1, E. Turón Viñas1, S. Brió Sanagustín1, F. Caballero Flores2, L. Zapata Fenor3, J. Leal Cebrecos2, S. Boronat Guerrero4
  • autores listados E. Coca Férnandez, E. Turón Viñas, S. Brió Sanagustín, F. Caballero Flores, L. Zapata Fenor, J. Leal Cebrecos2, S. Boronat Guerrero4
  • Titulo_ingles Organ donation after circulatory determination of death (Maastricht type III donation) in a pediatric intensive care unit. A case report
  • Centros_trabajo 1Unidad de Cuidados Intensivos Pediátricos. 2Servicio de Obtención de Órganos y Trasplante (SOOT). Hospital de la Santa Creu i Sant Pau. 3Unidad de Cuidados Intensivos. 4Servicio de Pediatría. Hospital de la Santa Creu i Sant Pau. Barcelona
  • Publicado en Acta Pediatr Esp. 2020; 78(3-4): e186-e189
  • copyright ©2020 Ediciones Mayo, S.A.
  • Tipo de Artículo Clínico (Microdatos) Case Reports
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