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Ann Fr Anesth Reanim · Feb 2009
[Feasibility of out-of-hospital management of non-heart-beating donors in Seine-Saint-Denis: one year retrospective study].
- F Adnet, R Dufau, F Roussin, C Antoine, F Fieux, F Lapostolle, E Chanzy, and L Jacob.
- Samu 93, EA 3409, hôpital Avicenne, AP-HP, université Paris-13, 125 rue de Stalingrad, Bobigny, France. frederic.adnet@avc.aphp.fr
- Ann Fr Anesth Reanim. 2009 Feb 1;28(2):124-9.
AbstractThe use of non-heart-beating donors (NHBD) could help shorten the list of patients who are waiting for a kidney transplant. The aim of this study was to evaluate efficiency of prehospital management of non-heart-beating donors in Seine-Saint-Denis area. We performed a retrospective cohort study of non-heart-beating donor managed by prehospital medical team of Samu 93 from February 2007 to January 2008. There were 28 non-heart-beating donors included consecutively. Twenty-five NHBD (89%) were canuled by Gillot probe within 150 min from patient collapse. Fourteen NHBD were harvested and 17 kidneys were transplanted. Six-month survival rate for NHBD grafts was 94%. In the same time, eight brain dead donors were managed by Samu 93 and were harvested leading to transplant 16 kidneys. Finally, 50% of overall kidney transplant activity in Seine-Saint-Denis was provided by NHBD grafts.
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