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The objective of this study is to quantify the association between tissue oxygen saturation (StO2) during the donor management phase of the Death by Neurological Criteria (DNC) organ donor and the number of organs transplanted per donor.
Specifically the study aims to:
Investigators will conduct an observational study, including 60 DNC organ donors, in Lifebanc's Donor Service Area (DSA). Investigators will monitor and record blindly the StO2 with near-infrared spectroscopy (NIRS) in the DNC organ donor from the beginning of the OPO (Organ Procurement Organization) organ donor management period until cardiac arrest in the operating room at the time of recovery.
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| Measure | Description | Time Frame |
|---|---|---|
| Number of organs transplanted per donor | At 24 hours after transfering the donor to operating room. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of organs with targeted end-organ function per donor | Normal end-organ function definitions
|
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Inclusion Criteria:
Exclusion Criteria:
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DNC Organ Donor managed by Lifebanc
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| Name | Affiliation | Role |
|---|---|---|
| Silvia Perez-Protto, MD | The Cleveland Clinic | Principal Investigator |
| Daniel Lebovitz, MD | Akron Children Hospital - Lifebanc | Study Director |
| J. Steven Hata, MD | The Cleveland Clinic | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cleveland Clinic | Cleveland | Ohio | 44195 | United States |
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| ID | Term |
|---|---|
| D001926 | Brain Death |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D003128 | Coma |
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| At the last hour at the Intensive Care Unit, before the donor is transferred to the operating room. |
| Number of organs predicted to be transplanted using organ donor calculator | At the last hour at the Intensive Care Unit, before the donor is transferred to the operating room. |
| Correlation of tissue oxygenation readings to macro-hemodynamic measurements | Mean arterial pressure, central venous pressure, cardiac output, positive pressure variation, stroke volume variation | During donor management until cardiac arrest at the operating room |
| Variation of tissue oxygenation after thyroid hormone is initiated, titrated and/or discontinued. | During donor management until cardiac arrest at the operating room |
| D014474 |
| Unconsciousness |
| D003244 | Consciousness Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D003643 | Death |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |