ВЕДЕНИЕ ПОТЕНЦИАЛЬНОГО ДОНОРА СО СМЕРТЬЮ МОЗГА (ЧАСТЬ 1)
Аннотация
Основным фактором, ограничивающим трансплантацию, является недостаток донорских органов. В настоящее время большинство трансплантаций производится от доноров со смертью мозга (СМ). Со смертью в большинстве случаев связана выраженная физиологическая нестабильность, которая может привести или к ухудшению функции донорского органа до эксцизии, или к потере донора. При активном или даже агрессивном ведении донора возможны управление и коррекция патофизиологических процессов в донорских органах, тем самым увеличивается число и улучшается функциональное состояние донорских органов.
Агрессивная стратегия ведения потенциальных доноров со СМ требует изменения не только в подходах к интенсивной терапии, но и философии в оценке проводимой работы. Несмотря на разработку и внедрение различных протоколов ведения доноров со СМ, оптимального сочетания целей, мониторинга, специфической терапии до настоящего момента пока не достигнуто.
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Рецензия
Для цитирования:
Виноградов В.Л. ВЕДЕНИЕ ПОТЕНЦИАЛЬНОГО ДОНОРА СО СМЕРТЬЮ МОЗГА (ЧАСТЬ 1). Трансплантология. 2014;(3):23-31.
For citation:
Vinogradov V.L. Management of a potential donor with brain death (PART 1). Transplantologiya. The Russian Journal of Transplantation. 2014;(3):23-31.
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