Abstract

THOMSON, D et al. Successful multi-organ donation from a district-level hospital without an intensive care unit - a case series of referrals over an 18-month period. SAMJ, S. Afr. med. j. [online]. 2022, vol.112, n.12, pp.897-900. ISSN 2078-5135.  https://doi.org/10.7196/SAMJ.2022.v112i12.16685.

Organ and tissue donation depends on non-transplant clinicians to identify and timeously refer potential donors and to counsel families compassionately about the prognosis at end of life. Organ donation referral is often felt to be beyond the capacity of district-level hospital services. In this case series, we report on four referrals from a geographically remote, public sector district-level hospital, and review the identification, referral and consent process of potential donors after brain death, and also donors after circulatory death. For the one successfully consented donor we report on the donor work-up and management, and the outcome of the organ recovery and organ allocation process.

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