transplantologiyaТрансплантологияTransplantologiya. The Russian Journal of Transplantation2074-05062542-0909IPO Association of Transplantologiststransplantologiya-36Research ArticleОБЗОРНЫЕ СТАТЬИ И ЛЕКЦИИREVIEW ARTICLES AND LECTURESВедение потенциального донора со смертью мозга (часть 2)Management of a potential donor with brain death (part 2)ВиноградовВ. Л.VinogradovV. L.v.l.vinogradov@gmail.comФГБУ ГНЦ ФМБЦ им. А.И. Бурназяна ФМБА РоссииРоссияState Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological AgencyRussian Federation201531012016014147Copyright © Виноградов В.Л., 20162016Виноградов В.Л.Vinogradov V.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jtransplantologiya.ru/jour/article/view/36

После диагностики смерти мозга кондиционирование донора является продолжением предшествующей интенсивной терапии. В статье рассматриваются стандарты ведения доноров со смертью мозга, построенные на основе физиологически оправданного активного подхода.

Основными элементами протокола являются инвазивный мониторинг центральной и периферической гемодинамики, коррекция гемодинамических нарушений, коррекция гипотермии, использование гормональной терапии и адекватная ИВЛ.

Активное или даже агрессивное ведение донора со смертью мозга позволяет управлять пато физиологическими процессами и корригировать их, тем самым увеличивая число и улучшая функциональное состояние донорских органов.

After the diagnosis of brain death has been made, the donor management is a continuation of the previous intensive care. The paper reviews the brain death donor management standards established on the basis of a physiologically justified active approach.

The maim elements of the donor management protocol include the invasive monitoring of the central and peripheral hemodynamic parameters, the correction of hemodynamic impairments, and hypothermia, the use of hormonal therapy, an adequate mechanical lung ventilation.

An active or even aggressive brain death donor management allows the control and correction of pathophysiological processes, thereby increasing the number and improving the functional state of donor organs.

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The authors declare that there are no conflicts of interest present.