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Titolo:
Kidney cooling during multi-organ harvesting. A descriptive study.
Autore:
Feuillu, B; Cormier, L; Frimat, L; Coissard, A; Mangin, P; Hubert, J;
Indirizzi:
CHU Nancy Brabois, Serv Urol, F-54511 Vandoeuvre Les Nancy, France CHU Nancy Brabois Vandoeuvre Les Nancy France F-54511 Les Nancy, France CHU Nancy Brabois, Serv Nephrol, F-54511 Vandoeuvre Les Nancy, France CHU Nancy Brabois Vandoeuvre Les Nancy France F-54511 Les Nancy, France CHU Nancy Brabois, Dept Anesthesie, F-54511 Vandoeuvre Les Nancy, France CHU Nancy Brabois Vandoeuvre Les Nancy France F-54511 Les Nancy, France
Titolo Testata:
PROGRES EN UROLOGIE
fascicolo: 4, volume: 11, anno: 2001,
pagine: 631 - 635
SICI:
1166-7087(200109)11:4<631:KCDMHA>2.0.ZU;2-6
Fonte:
ISI
Lingua:
FRE
Soggetto:
DELAYED GRAFT FUNCTION; RENAL-TRANSPLANTATION; PRESERVATION; PROCUREMENT;
Keywords:
multi-organ harvesting; kidney; ischaemia; temperature; transplantation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Feuillu, B CHU Nancy Brabois, Serv Urol, Rue Morvan, F-54511 Vandoeuvre Les Nancy, France CHU Nancy Brabois Rue Morvan Vandoeuvre Les Nancy France F-54511
Citazione:
B. Feuillu et al., "Kidney cooling during multi-organ harvesting. A descriptive study.", PROG UROL, 11(4), 2001, pp. 631-635

Abstract

Objective: To describe kidney cooling during multi-organ harvesting (MOH) from brain-dead donors and to evaluate harvesting practices. Material and Method: The temperature of 12 kidneys (6 left and 6 right kidneys) was monitored continuously during MOH from brain-dead donors. After in situ cooling, the kidneys were separated on the table and washed for several minutes with UW preservation solution. The kidney temperature was studied as a function of the main phases of the operative procedure. Results: The mean minimum kidney temperature of 10.8 degreesC (3.7 degreesC to 16.6 degreesC) was reached at the beginning of mobilization of the liver, i.e. an average of 20 minutes (13 to 37 min) after cannulation. The mean cooling rate was 1.37 degreesC/min (0.73 to 2.19 degreesC/min). The mean temperature of the UW cooling solution was 9.4 degreesC (3.8 degreesC to 14degreesC). For hepatic followed by renal dissection, the kidneys slowly reheated at a mean rate of 0.20C/min (0.12 to 0.37 degreesC/min) to reach a mean temperature of 21 degreesC (13.5 degreesC to 26.3 degreesC) at the timeof resection. The mean kidney temperature at the time of placement in the container was 17.5 degreesC (13.2 degreesC to 22 degreesC). Conclusion: The course of kidney temperature during MOH has not been previously described. This study, performed under usual harvesting conditions, demonstrated sometimes imperfect cooling that could be harmful to he kidneys, but which could be improved by simple measures: rapid dissection of the liver and kidneys and correct application of contact cooling.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 12:32:05