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Successful Brain Dead Donor Management with CRRT -A Case Report-

Other Title
지속적 신대체 요법을 이용한 성공적인 뇌사 장기 공여자의 관리 -증례 보고-
Authors
임, 상현; 이, 영주; 조, 한범; 이, 재명; 이, 인경
Citation
Korean journal of critical care medicine, 27(4):286-289, 2012
Journal Title
Korean journal of critical care medicine
ISSN
2383-48702383-4889
Abstract
Brain death results in adverse pathophysiologic effects in many brain-dead donors with cardiovascular instability. We experienced a brain-dead donor with continuous renal replacement therapy (CRRT) who was in a severe metabolic, electrolyte derangement and poor pulmonary function. The thirty-nine-year-old male patient with subarachnoid hemorrhage and intraventricular hemorrhage was admitted into the intensive care unit (ICU). After sudden cardiac arrest, he went into a coma state and was referred to as a potential organ donor. When he was transferred, his vital sign was unstable even under the high dose of inotropics and vasopressors. Even with aggressive treatment, the level of blood sugar was 454 mg/dl, serum K+ 7.1 mEq/L, lactate 5.33 mmol/L and PaO2/FiO2 60.3. We decided to start CRRT with the mode of continuous venovenous hemodiafiltration (CVVHDF). After 12 hours of CRRT, vital sign was maintained well without vasopressors, and blood sugar, serum potassium and lactate levels returned to 195 of PaO2/FiO2. Therefore, he was able to donate his two kidneys and his liver.
Keywords
brain-dead donorcontinuous renal replacement therapypotential organ donor
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Thoracic & Cardiovascular Surgery
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
Journal Papers > School of Medicine / Graduate School of Medicine > Anesthesiology & Pain Medicine
AJOU Authors
임, 상현이, 영주조, 한범이, 재명
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