LifeShare University
LifeShare University
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ORGAN DONATION CRITERIA

Refer imminent deaths of ventilator patients within one hour of patient meeting either of the following criteria:
•    PLAN TO DISCUSS WITHDRAWAL OF SUPPORT WITH FAMILY (potential candidate for Donation after
​     Circulatory Death)
•    Severe brain injury, ventilator-dependent and GCS< 5

BRAIN DEATH DETERMINATION

•    Known cause of condition.
•    No drug intoxication or significant metabolic disturbances.
•    No response to painful stimuli.
•    No gag, cough or corneal reflexes.
•    Pupils fixed and dilated.
•    No spontaneous respiration or movements.

APNEA TESTING 1

​Prerequisite
•    Core temperature > 36.5° C or 97° F.
•    Systolic blood pressure > 90 mmHg.
•    Euvolemia.
​     Option: Positive fluid balance in previous 6 hours.
•    Normal PCO2. Option: Arterial PCO2 > 40 mmHg.
•    Normal PO2. Option: Preoxygenate to obtain arterial PO2 > 200 mmHg.


Test
•    Connect pulse oximeter and disconnect ventilator. Option: Place cannula at level of carina and deliver
     100% 02 @8L/min.
•    Observe for respiratory movements.
•    Draw ABG and reconnect ventilator after approximately 8 minutes.
•    Apnea test is positive if no respiratory movement and PCO2 is > 60 mmHg or 20 mmHg increase in PCO2 over
​     baseline normal PCO2.
•    Connect the ventilator if systolic blood pressure becomes < 90 mmHg or pulse oximeter indicates significant
     02 desaturation and arrhythmias develop. Immediately draw ABG.


1 Adopted from American Academy of Neurology Practice Parameters for Determining Brain Death in Adults.

GLASGOW COMA SCALE

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PUPIL GAUGE (mm)

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Download the Organ Donation Criteria / Glasgow Coma Scale Pocket Card

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