THE RETRIEVAL OF THORACIC ORGANS - DONOR ASSESSMENT AND MANAGEMENT

The optimal management of the multi-organ donor is critical to the suc cessful outcome of transplantation. It is a complex challenge demandin g careful attention to detail, and requiring a shift in emphasis, sinc e the pathophysiological processes have far reaching effects which man y clinicians do not see on a day-to-day basis. The optimal management of haemodynamic and respiratory status is essential in order to maximi se the yield of suitable thoracic donor organs, yet this process will also improve the condition of other organs at the time of procurement and thus enable prompt recovery of function following hepatic and rena l transplantation. The process commences when a potential donor is ide ntified, and is only complete after successful transplantation of all possible organs. in order to achieve this end, a dedicated, multi-disc iplinary team is necessary, consisting not only of medical staff, but also support workers who organise logistics, and who play their own pa rt in vital areas, such as transport of the donor team and organs. The co-ordinator's role is pivotal in bringing together, in harmony, team s from different centres. it is important to remember that the effort of every person involved in the management and procurement of donor or gans is primarily directed towards maximisation of the donor pool, and that our main responsibility is to the recipients on our waiting list s.