Cargando…
Lung donation and donor lung management: a survey among health care professionals in Argentina
OBJECTIVE: To describe health care providers’ knowledge about lung donation and donor lung management. METHODS: A descriptive, cross-sectional study based on an anonymous survey was conducted between March and September 2018 among health care professionals registered to Sociedad Argentina de Terapia...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação de Medicina Intensiva Brasileira - AMIB
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8889600/ https://www.ncbi.nlm.nih.gov/pubmed/35081240 http://dx.doi.org/10.5935/0103-507X.20210072 |
_version_ | 1784661438939267072 |
---|---|
author | Ruiz, Vanesa Romina Terrasa, Sergio Adrián Bauque, Susana Rodriguez, Pablo Ezequiel Morozovsky, Verónica Celia Lozzo, Alejandro Gabriel Da Midley, Alejandro Daniel |
author_facet | Ruiz, Vanesa Romina Terrasa, Sergio Adrián Bauque, Susana Rodriguez, Pablo Ezequiel Morozovsky, Verónica Celia Lozzo, Alejandro Gabriel Da Midley, Alejandro Daniel |
author_sort | Ruiz, Vanesa Romina |
collection | PubMed |
description | OBJECTIVE: To describe health care providers’ knowledge about lung donation and donor lung management. METHODS: A descriptive, cross-sectional study based on an anonymous survey was conducted between March and September 2018 among health care professionals registered to Sociedad Argentina de Terapia Intensiva. RESULTS: Of the 736 respondents, the mean age was 40.5 years (standard deviation 8.9), and 61.3% were female. Sixty percent were physicians, 21.5% were nurses, and 17.9% were physiotherapists. Seventy-eight percent considered themselves appropriately informed about organ procurement, and 79.8% stated that they knew potential organ donor critical care management. The lung donor criteria were answered correctly by 71.3% of the respondents. However, after the donor’s brain death, 51% made no changes to ventilator parameters, 22.9% were not aware of which parameters to reprogram, and 44.5% selected tidal volume of 6 - 8mL/kg and positive end expiratory pressure of 5cmH(2)O. For 85% of the health care providers, the type of apnea test chosen was disconnection from the ventilator, and only 18.5% used a lung management protocol. The most frequent interventions used in the case of arterial oxygen partial pressure/fractional inspired oxygen < 300 were positive end expiratory pressure titration, closed-circuit endotracheal suctioning, and recruitment maneuvers. CONCLUSION: Health care professionals surveyed in Argentina correctly answered most of the questions related to lung donor criteria. However, they lacked detailed knowledge about ventilatory settings, ventilatory strategies, and protocols for lung donors. Educational programs are key to optimizing multiorgan donation and should be focused on protecting the donor lungs to increase the numbers of organs available for transplantation. |
format | Online Article Text |
id | pubmed-8889600 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Associação de Medicina Intensiva Brasileira - AMIB |
record_format | MEDLINE/PubMed |
spelling | pubmed-88896002022-03-09 Lung donation and donor lung management: a survey among health care professionals in Argentina Ruiz, Vanesa Romina Terrasa, Sergio Adrián Bauque, Susana Rodriguez, Pablo Ezequiel Morozovsky, Verónica Celia Lozzo, Alejandro Gabriel Da Midley, Alejandro Daniel Rev Bras Ter Intensiva Original Article OBJECTIVE: To describe health care providers’ knowledge about lung donation and donor lung management. METHODS: A descriptive, cross-sectional study based on an anonymous survey was conducted between March and September 2018 among health care professionals registered to Sociedad Argentina de Terapia Intensiva. RESULTS: Of the 736 respondents, the mean age was 40.5 years (standard deviation 8.9), and 61.3% were female. Sixty percent were physicians, 21.5% were nurses, and 17.9% were physiotherapists. Seventy-eight percent considered themselves appropriately informed about organ procurement, and 79.8% stated that they knew potential organ donor critical care management. The lung donor criteria were answered correctly by 71.3% of the respondents. However, after the donor’s brain death, 51% made no changes to ventilator parameters, 22.9% were not aware of which parameters to reprogram, and 44.5% selected tidal volume of 6 - 8mL/kg and positive end expiratory pressure of 5cmH(2)O. For 85% of the health care providers, the type of apnea test chosen was disconnection from the ventilator, and only 18.5% used a lung management protocol. The most frequent interventions used in the case of arterial oxygen partial pressure/fractional inspired oxygen < 300 were positive end expiratory pressure titration, closed-circuit endotracheal suctioning, and recruitment maneuvers. CONCLUSION: Health care professionals surveyed in Argentina correctly answered most of the questions related to lung donor criteria. However, they lacked detailed knowledge about ventilatory settings, ventilatory strategies, and protocols for lung donors. Educational programs are key to optimizing multiorgan donation and should be focused on protecting the donor lungs to increase the numbers of organs available for transplantation. Associação de Medicina Intensiva Brasileira - AMIB 2021 /pmc/articles/PMC8889600/ /pubmed/35081240 http://dx.doi.org/10.5935/0103-507X.20210072 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Ruiz, Vanesa Romina Terrasa, Sergio Adrián Bauque, Susana Rodriguez, Pablo Ezequiel Morozovsky, Verónica Celia Lozzo, Alejandro Gabriel Da Midley, Alejandro Daniel Lung donation and donor lung management: a survey among health care professionals in Argentina |
title | Lung donation and donor lung management: a survey among health care
professionals in Argentina |
title_full | Lung donation and donor lung management: a survey among health care
professionals in Argentina |
title_fullStr | Lung donation and donor lung management: a survey among health care
professionals in Argentina |
title_full_unstemmed | Lung donation and donor lung management: a survey among health care
professionals in Argentina |
title_short | Lung donation and donor lung management: a survey among health care
professionals in Argentina |
title_sort | lung donation and donor lung management: a survey among health care
professionals in argentina |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8889600/ https://www.ncbi.nlm.nih.gov/pubmed/35081240 http://dx.doi.org/10.5935/0103-507X.20210072 |
work_keys_str_mv | AT ruizvanesaromina lungdonationanddonorlungmanagementasurveyamonghealthcareprofessionalsinargentina AT terrasasergioadrian lungdonationanddonorlungmanagementasurveyamonghealthcareprofessionalsinargentina AT bauquesusana lungdonationanddonorlungmanagementasurveyamonghealthcareprofessionalsinargentina AT rodriguezpabloezequiel lungdonationanddonorlungmanagementasurveyamonghealthcareprofessionalsinargentina AT morozovskyveronicacelia lungdonationanddonorlungmanagementasurveyamonghealthcareprofessionalsinargentina AT lozzoalejandrogabrielda lungdonationanddonorlungmanagementasurveyamonghealthcareprofessionalsinargentina AT midleyalejandrodaniel lungdonationanddonorlungmanagementasurveyamonghealthcareprofessionalsinargentina |