Nearly as many people die waiting for a transplantation each year as donors
give organs. This makes identifying and caring for potential donors a prom
inent task in every intensive care unit. Crucial to the donation process is
understanding, recognizing, determining brain death, as well as the abilit
y to communicate the full meaning of brain death to the family. By their fa
mily-oriented organization and attitude, PICUs should have an extra chance
to obtain family consent for donation. Technically, the medical care for th
e donor follows the same lints as the care for any other unstable ICU patie
nt, as many specific treatment options remain a matter for debate, and cont
rolled studies in the future.