Clinical Challenges in Surgical Critical Care: Management of the Brain Dead Organ Donor

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 17 November 2022

⏱️ 18 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Historically, a paucity of data has existed in the most appropriate modality of critical care management of brain dead organ donors prior to organ harvest. In this episode, Drs. Bankhead, Dumas, and Park are joined by special guest Dr. Ashley McGinity, a director in the donor management unit the Center for Life at the UT Health Science Center in San Antonio, joins us to discuss modern and current practices in the management of these patients to maximize the gift for patients and families.

References:
https://pubmed.ncbi.nlm.nih.gov/24980425/ https://pubmed.ncbi.nlm.nih.gov/25978154/
https://pubmed.ncbi.nlm.nih.gov/31957104/ https://pubmed.ncbi.nlm.nih.gov/23116641/ https://pubmed.ncbi.nlm.nih.gov/28318674/ https://pubmed.ncbi.nlm.nih.gov/25056510/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145376/

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out other surgical critical care episodes here: https://behindtheknife.org/podcast-category/surgical-critical-care/

Transcript

Click on a timestamp to play from that location

0:00.0	Behind the Night, the Surgery Podcast, relevant and engaging content designed to help you dominate the day.
0:13.0	Good morning, everyone, and welcome to Behind the Knife Critical Care.
0:26.0	I'm Brittany Bancad from Texas Tech University, along with Ryan Dumas and Caroline Park at UT Southwestern.
0:32.0	This morning, we're going to discuss a critical care topic that is full of debate and not a lot of evidence-based guidelines to pull from,
0:39.0	which is the critical care management of the brain-dead organ donor.
0:44.0	Also, in a BTK critical care first, we've got a great resource of information and a very special guest.
0:51.0	Dr. Ashley McGinnity from the University of Texas Health Science Center in San Antonio.
0:56.0	She will be providing some expert feedback and commentary on some of the scenarios we have outlined today.
1:01.0	Dr. McGinnity, can you tell us a little bit about the unit that you run and the resources that you provide your region?
1:07.0	And thank you again for being here.
1:09.0	Good morning. Thanks for having me.
1:11.0	Yes, I'm a trauma surgeon and surgical intensivist.
1:14.0	I serve as one of the directors of the donor management unit called the Center for Life.
1:19.0	For a little over two years, we've been transferring in brain-dead donors from our OPO, which is an organ procurement organization region,
1:28.0	to a centralized unit for pre-precurement management.
1:31.0	This allows us to really optimize the resources and critical care management of each donor to optimize that wonderful gift of donation and to get an increased organ yield per donor.
1:42.0	Awesome. Dr. McGinnity, welcome again and thanks for having you.
1:46.0	Thanks for being on with us today. It's really great to have you.
1:48.0	So let's jump right in something that invariably kind of comes up when we manage with these manage these brain dead patients is access.
1:56.0	So what sort of lines and what sort of monitoring do these patients need?
2:00.0	I remember as a trainee frequently these patients, you get called and asked to help place access.
2:05.0	So central access, arterial line monitoring.
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Behind The Knife: The Surgery Podcast, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Behind The Knife: The Surgery Podcast and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.