Long Term Management of a Deceased Organ Donor-An Organ Donor Coordinator’s Point of View

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Abstract

Case study

42 year old female complained of a sudden headache and collapsed at home.

Case study

Phx: nil significant, currently 26/40 gestation G1P0 On arrival to the local emergency department, Glasgow Coma Scale of 3, intubated at scene for airway protection.

Case study

CTB: Grade V Subarachnoid Haemorrhage with early hydrocephalus.

Case study

Theatre: emergency craniotomy with EVD insertion for evacuation of bleed.

Case study

Day 3: Pupils remain fixed and dilated, nil spontaneous breaths, absent cough and gag reflexes. Absent corneal reflexes. Brain death testing completed via nuclear medicine scan and confirmed by 2 intensive care specialists. Death declared at xx/xx/xx Organ donation was raised with the next of kin (domestic partner) who was very supportive, and signed the formal consent paperwork on the day.

Case study

Their one request is to deliver the baby when he/she was viable and healthy.

Case study

Patient was supported for 6 weeks in ICU with multidisciplinary team input- including obstetrics and gynaecology, Infectious diseases, ICU and general medicine. Multiple nursing teams involved in the care of the patient as well as social work involvement.

Case study

Retrieval theatre 6 weeks post brain death declaration: successful retrieval of heart, lungs, liver, pancreas, kidneys, eyes.

Case study

Monash Health.

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