Anesthesia for Transplant Surgery - Anesthesia for Organ Procurement
Types of donors
Types of donorsa
- Donation after brain death (DBD) donors are patients who have had a terminal neurologic insult and have been declared brain dead in accordance with the American Academy of Neurology guidelines and any institutional policies.
- Donation after cardiac death donors are patients who have had a terminal neurologic insult but do not meet criteria for brain death. Death is declared based on cardiopulmonary criteria after life support is withdrawn. A period of 5 minutes is allowed to elapse prior to procurement to ensure no autoresuscitation.
- Living donors are patients who willingly donate an organ, most often a kidney. Living liver donation can occur with left lateral segment or lobe donation to a pediatric recipient or a right lobe in adult-to-adult transplants.
- Living organ donation boasts improved survival rates, reduced waiting times, and opportunity to electively schedule surgery. However, it presents a significant ethical challenge as it is the only surgery from which a patient derives no benefit for the risk they take.
- Living liver donations should involve a liver transplant anesthesiologist who is familiar with the anesthetic considerations for dissection and mobilization of the hepatic segment, which can present significant risk to the donor.
There's more to see -- the rest of this topic is available only to subscribers.
Citation
Pino, Richard M., editor. "Anesthesia for Transplant Surgery - Anesthesia for Organ Procurement." Clinical Anesthesia Procedures, 10th ed., Wolters Kluwer, 2022. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728305/all/Anesthesia_for_Neurosurgery___Intraoperative_Management.
Anesthesia for Transplant Surgery - Anesthesia for Organ Procurement. In: Pino RMR, ed. Clinical Anesthesia Procedures. Wolters Kluwer; 2022. https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728305/all/Anesthesia_for_Neurosurgery___Intraoperative_Management. Accessed July 16, 2025.
Anesthesia for Transplant Surgery - Anesthesia for Organ Procurement. (2022). In Pino, R. M. (Ed.), Clinical Anesthesia Procedures (10th ed.). Wolters Kluwer. https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728305/all/Anesthesia_for_Neurosurgery___Intraoperative_Management
Anesthesia for Transplant Surgery - Anesthesia for Organ Procurement [Internet]. In: Pino RMR, editors. Clinical Anesthesia Procedures. Wolters Kluwer; 2022. [cited 2025 July 16]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728305/all/Anesthesia_for_Neurosurgery___Intraoperative_Management.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Anesthesia for Transplant Surgery - Anesthesia for Organ Procurement
ID - 728305
ED - Pino,Richard M,
BT - Clinical Anesthesia Procedures
UR - https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728305/all/Anesthesia_for_Neurosurgery___Intraoperative_Management
PB - Wolters Kluwer
ET - 10
DB - Anesthesia Central
DP - Unbound Medicine
ER -