为生命接力，ICU助力器官捐献的关键策略

潘爱军; 王庞; 谢朝阳; 方洋; 范晓钦; 陈升; 吴伟文; 赵兴旺; 梁武; 江文诗; 欧亚林

doi:10.3969/j.issn.1674-7445.2020.02.017

为生命接力，ICU助力器官捐献的关键策略

doi: 10.3969/j.issn.1674-7445.2020.02.017

230001 合肥，中国科学技术大学附属第一医院重症医学科（潘爱军、范晓钦、江文诗）；安徽省宁国市人民医院重症医学科（王庞）；河南省禹州市人民医院重症医学科（谢朝阳、赵兴旺）；云南省楚雄州人民医院（方洋、欧亚林）；福建医科大学附属协和医院心外科重症医学科（陈升），重症医学科（吴伟文）；云南省曲靖市第一人民医院急诊科（梁武）；国际器官捐献与移植注册中心（江文诗）

基金项目:

中欧器官捐献领导力培训与专业技术输送计划项目 573787-EPP-1-2016-1-ES-EPPKA2-CBHE-JP

潘爱军和王庞为共同第一作者

详细信息

作者简介:
潘爱军，男，1974年生，博士，硕士生导师，主任医师，研究方向为重症感染与细菌耐药机制，Email：aijunpan868@sina.com

王庞，男，1974年生，学士，主任医师，研究方向为重症医学，Email：wangpang8078@126.com

通讯作者:
欧亚林，男，1963年生，学士，主任医师，研究方向为重症医学-神经、心血管重症，Email：49716581@qq.com

中图分类号: R617
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- 被引次数: 0
出版历程
- 收稿日期: 2019-12-23
- 网络出版日期: 2021-01-19
- 刊出日期: 2020-03-15

Key strategies of ICU in promoting organ donation: a relay for life

Department of Intensive Medicine, the First Affiliated Hospital of University of Science and Technology of China, Hefei 230001, China

More Information

Corresponding author: Ou Yalin, Email: 49716581@qq.com

摘要

摘要: 器官移植是终末期器官衰竭的有效治疗方法。然而，器官短缺一直是全球各国面临的共同难题。重症监护室（ICU）医护人员对器官捐献的认可及积极参与有助于推进器官捐献工作的开展，进而改善捐献器官短缺的问题。本文从ICU供者管理推动器官捐献的关键策略、ICU医护人员管理推动器官捐献的关键策略等方面进行综述，以期为广大器官捐献从业人员（尤其是ICU医护人员）提供参考，携手助力器官捐献的专业化发展。
- 器官移植 /
- 器官捐献 /
- 重症监护室(ICU) /
- 器官获取组织(OPO) /
- 潜在供者 /
- 脑死亡 /
- 关键策略
Abstract: Organ transplantation is an effective treatment for end-stage organ failure. However, organ shortage has always been a common problem faced by countries around the world. The recognition and active participation of intensive care unit (ICU) medical staff in organ donation contributes to promoting the development of organ donation, thereby alleviating the shortage of donor organ. In this article, the key strategies of ICU donor management to promote organ donation and the key strategies of ICU medical staff management to promote organ donation were summarized, aiming to provide reference for organ donation practitioners (especially ICU medical staff) and jointly facilitate the professional development of organ donation.
- Organ transplantation /
- Organ donation /
- Intensive care unit (ICU) /
- Organ Procurement Organization(OPO) /
- Potential donor /
- Brain death /
- Key strategy
注释:

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参考文献(26)

[1]	GODT. Global observatory on donation and transplantation 2017[EB/OL].[2019-12-28].http://www.transplant-observatory.org/.
[2]	MASOUMIAN HOSEINI ST, MANZARI Z, KHALEGHI I. ICU nurses' knowledge, attitude, and practice towards their role in the organ donation process from brain-dead patients and factors influencing it in Iran[J]. Int J Organ Transplant Med, 2015, 6(3):105-113. http://cn.bing.com/academic/profile?id=e9a5b3752585f62590e20db17ebfcb7b&encoded=0&v=paper_preview&mkt=zh-cn
[3]	VIJAYALAKSHMI P, NAGARAJAIAH, RAMACHANDRA, et al. Indian ICU nurses' perceptions of and attitudes towards organ donation[J]. Br J Nurs, 2015, 24(13):694-697. DOI: 10.12968/bjon.2015.24.13.694.
[4]	AL-MOUSAWI M1, ABDUL-RAZZAK M, SAMHAN M. Attitude of ICU staff in Kuwait regarding organ donation and brain death[J]. Transplant Proc, 2001, 33(5):2634-2635. DOI: 10.1016/s0041-1345(01)02122-4.
[5]	ROELS L, SPAIGHT C, SMITS J, et al. Critical care staffs' attitudes, confidence levels and educational needs correlate with countries' donation rates: data from the Donor Action Database[J]. Transpl Int, 2010, 23(8):842-850. DOI: 10.1111/j.1432-2277.2010.01065.x.
[6]	SEMICYUC. Intensive medicine in Spain[J]. Med Intensiva, 2011, 35(2):92-101. DOI: 10.1016/j.medin.2010.12.008.
[7]	MULLER E. Management of the potential organ donor in the ICU: Society of Critical Care Medicine/American College of Chest Physicians/Association of Organ Procurement Organizations Consensus Statement[J]. Transplantation, 2015, 99(9):1743. DOI: 10.1097/TP.0000000000000896.
[8]	PANDIT RA, ZIRPE KG, GURAV SK, et al. Management of potential organ donor: Indian Society of Critical Care Medicine: position statement[J]. Indian J Crit Care Med, 2017, 21(5):303-316. DOI: 10.4103/ijccm.IJCCM_160_17.
[9]	SHEMIE SD, SIMPSON C, BLACKMER J, et al. Ethics guide recommendations for organ-donation-focused physicians: endorsed by the Canadian Medical Association[J]. Transplantation, 2017, 101(5S Suppl 1):S41-S47. DOI: 10.1097/TP.0000000000001694.
[10]	ACCORD Consortium. Variations in end-of-life care pathways for patients with a devastating brain injury in Europe (interim report)[EB/OL]. (2014-03-01). http://www.accord-ja.eu/sites/default/files/download_documents/InterimReportFinalMarch2014.pdf.
[11]	General Medical Council. Treatment and care towards the end of life: good practice in decision making[EB/OL]. (2010-05-20). https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/treatment-and-care-towards-the-end-of-life.
[12]	NHS Blood and Transplant. Annual report on the national organ retrieval service[EB/OL]. (2019-10-01). https://www.odt.nhs.uk/statistics-and-reports/annual-national-organ-retrieval-service-report/.
[13]	中华人民共和国国家卫生健康委.关于印发人体捐献器官获取与分配管理规定的通知[A/OL]. (2019-01-17).http://www.gov.cn/gongbao/content/2019/content_5397751.htm.
[14]	DOMÍNGUEZ-GIL B, DELMONICO FL, SHAHEEN FA, et al. The critical pathway for deceased donation: reportable uniformity in the approach to deceased donation[J]. Transpl Int, 2011, 24(4):373-378. DOI: 10.1111/j.1432-2277.2011.01243.x.
[15]	DE LA ROSA G, DOMÍNGUEZ-GIL B, MATESANZ R, et al. Continuously evaluating performance in deceased donation: the Spanish quality assurance program[J]. Am J Transplant, 2012, 12(9):2507-2513. DOI: 10.1111/j.1600-6143.2012.04138.x.
[16]	EDQM. Guide to the quality and safety of organs for transplantation (7th edition)[EB/OL]. (2018-11-01).https://www.edqm.eu/sites/default/files/leaflet_-transplantation-organs-7th_edition_-_november_2018.pdf.
[17]	SUN B, TANG X, LIANG L, et al. A survey of knowledge and application of mechanical thromboprophylaxis among the medical staff of intensive care units in North China[J]. Clin Respir J, 2018, 12(4):1591-1597. DOI: 10.1111/crj.12715.
[18]	国家卫生健康委脑损伤质控评价中心, 中华医学会神经病学分会神经重症协作组, 中国医师协会神经内科医师分会神经重症专业委员会.中国成人脑死亡判定标准与操作规范(第二版)[J].中华医学杂志, 2019, 99(17):1288-1292. DOI: 10.3760/cma.j.issn.0376-2491. 2019.17.003. Brain Injury Evaluation Quality Control Center of National Health Commission, Neurocritical Care Collaboration Group of Branch of Neurology of Chinese Medical Society, Neurocritical Care Committee of Branch of Neurologist of Chinese Medical Doctor Association. Criteria and practical guidance for determination of brain death for adults (2nd edition)[J]. Natl Med J China, 2019, 99(17):1288-1292. DOI: 10.3760/cma.j.issn.0376-2491.2019.17.003.
[19]	国家卫生健康委脑损伤质控评价中心.中国儿童脑死亡判定标准与操作规范[J].中华儿科杂志, 2019, 57(5):331-335. DOI: 10.3760/cma.j.issn.0578-1310.2019.05.003. Brain Injury Evaluation Quality Control Center of National Health Commission. Criteria and practical guidance for determination of brain death in children[J]. Chin J Pediatr, 2019, 57(5):331-335. DOI: 10.3760/cma.j.issn.0578-1310.2019.05.003.
[20]	MALINOSKI DJ, PATEL MS, DALY MC, et al. The impact of meeting donor management goals on the number of organs transplanted per donor: results from the United Network for Organ Sharing Region 5 prospective donor management goals study[J]. Crit Care Med, 2012, 40(10):2773-80. DOI: 10.1097/CCM.0b013e31825b252a.
[21]	STREAT S, SILVESTER W. Organ donation in Australia and New Zealand--ICU perspectives[J]. Crit Care Resusc, 2001, 3(1):48-51. http://cn.bing.com/academic/profile?id=0506b5b1ec2588f0c838198b7df416a9&encoded=0&v=paper_preview&mkt=zh-cn
[22]	NHS Blood and Transplant. Potential donor audit summary report for the 12 month period[EB/OL]. (2019-08-01). https://www.odt.nhs.uk/statistics-and-reports/potential-donor-audit-report/.
[23]	IRODaT. International registry on organ donation and transplantation 2019[EB/OL]. (2019-12-28). http://www.irodat.org/.
[24]	DOMÍNGUEZ-GIL B, MURPHY P, PROCACCIO F. Ten changes that could improve organ donation in the intensive care unit[J]. Intensive Care Med, 2016, 42(2):264-267. DOI: 10.1007/s00134-015-3833-y.
[25]	WILLIS D, DRAPER H. To make the unusual usual: is there an imperative to discuss organ donation with palliative care patients?[J]. Int J Palliat Nurs, 2012, 18(1):5-7. DOI: 10.12968/ijpn.2012.18.1.5.
[26]	江文诗, MARIA PG, GLORIA P, et al.数据之美——聚焦全球器官捐献发展趋势[J/CD].中华移植杂志(电子版), 2019, 13(1): 28-33. DOI: 10.3877/cma.j.issn.1674-3903.2019.01.007. JIANG WS, MARIA PG, GLORIA P, et al. The beauty of the data--focusing on the trend of global organ donation[J/CD]. Chin J Transplant (Electr Vers), 2019, 13(1): 28-33. DOI: 10.3877/cma.j.issn.1674-3903.2019.01.007.