Brain death occurred in a 47-year-old head trauma patient following 5
days of intensive care. The procedure for multiple organ procurement w
as initiated. irreversible cardiac arrest had occurred during the peri
od in the surgical intensive therapy unit. External cardiac massage an
d mechanical ventilation were maintained until in situ cooling of the
kidneys was achieved. The patient was taken to the operating room for
nephrectomy. Both kidneys were transplanted with a favourable outcome.
Procurement of kidneys from non-heart-beating donors could increase t
he number of available grafts for transplantation. (C) 1998 Elsevier,
Paris.