A 360° Rotational Positioning Protocol of Organ Donors May Increase Lungs Available for Transplantation.

Objectives: To evaluate the improvement in lung donation and immediate lung function after the implementation of a 360° rotational positioning protocol within an organ procurement organization in the Midwest.

Design: Retrospective observational study.

Setting: The Midwest Transplant Network from 2005 to 2017.

Never Declared Brain Dead Potential Organ Donors-An Additional Source of Donor Organs?

Context: Patients never declared brain dead may represent an additional source of donor organs.

Objective: To determine the number of likely brain dead potential donors who are never declared brain dead and to compare them with brain dead and donation after cardiac death potential organ donors.

Design, Setting, And Participants: This study was a retrospective chart review of all catastrophically brain-injured patients referred to a single-organ procurement organization (OPO) over a 4-year period.

Pediatric organ donation: a national survey examining consent rates and characteristics of donor hospitals.

Objective: To characterize the eligible pediatric donor pool in the United States by age, consent rate, location, and cause of donor loss.

Study Design: Survey.

Setting: Organ procurement organizations in the United States.

Case report of massive fetomaternal hemorrhage and a guideline for acute neonatal management.

Massive fetomaternal hemorrhage resulting in profound anemia and shock is associated with high perinatal morbidity and mortality. Although diagnosis before delivery is difficult, the clinical index of suspicion rises when a woman presents with history of decreased or absent fetal movements and antenatal monitoring shows a sinusoidal rhythm strip. The diagnosis can be made quickly by demonstration of fetal red blood cells in the maternal circulation and there is consistent recommendation in the literature to immediately order a Kleihauer-Betke test.

The risk for Chagas' disease in the Midwestern United States organ donor population is low.

Purpose: Several recent publications have increased awareness that transplanted organs can transmit infectious diseases. In light of the recent report describing the transmission of Trypanosoma cruzi infection by an organ donor in the United States (MMWR 2002: 51: 210), we have tested archived serum samples from our Organ Procurement Organization's (OPO's) deceased organ donors and live donors from 23 October 1995 through 1 March 2002.

Methods: A total of 1117 serum samples from 558 locally recovered deceased donors, 178 imported deceased donors, and 212 live donors were tested (several duplicates were included).

A case report of neonatal thyrotoxicosis due to maternal autoimmune hyperthyroidism.

A case of neonatal thyrotoxicosis secondary to maternal autoimmune hyperthyroidism is reported in an infant born at 34 weeks gestation who presented with tachycardia, jitteriness, diarrhea, and a small goiter. Propranolol and oxygen were used to treat high-output cardiac failure and transient persistent pulmonary hypertension. The infant's response to propylthiouracil therapy, gradual resolution of cardiac and systemic symptoms, and normaliziation of thyroid studies are described.