Organ Donation after Extracorporeal Cardiopulmonary Resuscitation and Brain Death.

Acta Med Okayama

Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences.

Published: February 2023

AI Article Synopsis

  • * Despite efforts to save her, she was declared brain dead six days later, prompting discussions about organ donation with her family.
  • * The case highlights the need for specialized training for emergency physicians to effectively integrate organ donation discussions into end-of-life care while honoring the family's wishes.

Article Abstract

A 38-year-old primipara Japanese woman suffered cardiac arrest due to a pulmonary thromboembolism 1 day after undergoing a cesarean section. Extracorporeal cardiopulmonary resuscitation was initiated and extracorporeal membrane oxygenation support was needed for 24 h. Despite intensive care, the patient was diagnosed with brain death on day 6. With the family's consent, comprehensive end-of-life care including organ donation was discussed based on our hospital's policy. The family decided to donate her organs. Specific training and education are required for emergency physicians to optimize the process of incorporating organ donation into end-of-life care while respecting the patient's and family's wishes.

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Source
http://dx.doi.org/10.18926/AMO/64372DOI Listing

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