000			03825na a2200445 4500
003			H12O
005			20211112062734.0
008			130622s2012 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aÁvila Martínez, Régulo José _91959 _eCirugía Torácica
100			_9331 _aCortés Guerrero, Manuel _eAnestesiología y Reanimación
100			_91184 _aMartín de Nicolás Serrahima, José Luis _eCirugía Torácica
100			_91636 _aPablo Gafas, Alicia de _eNeumología
100			_91182 _aDíaz-Hellín Gude, Vicente _eCirugía Torácica
100			_91635 _aGámez García, Pablo _eCirugía Torácica
100			_aToldos González, Oscar _91946 _eAnatomía Patológica
100			_aHermoso Alarza, Fátima _91960 _eCirugía Torácica
100			_aJuarros Monteagudo, Lourdes _91957 _eMedicina Física y Rehabilitación
100			_aMariscal de Alba, María Andrea _91961 _eCirugía Torácica
100			_9378 _aMarrón Fernández, María del Carmen _eCirugía Torácica
100			_91069 _aMartínez Pueyo, José Ignacio _eCirugía General y Aparato Digestivo
100			_aMeneses Pardo, José Carlos _91204 _eCirugía Torácica
100			_aZuluaga Bedoya, Mauricio _91962 _eCirugía Torácica
100			_91958 _aLópez López, Eloisa _eAnestesiología y Reanimación
245	0	0	_aDevelopment of a Non–Heart-Beating Donor Program and Results After the First Year. _h[artículo]
260			_bTransplantation Proceedings, _c2012
300			_a44(7):2047-9.
500			_aFormato Vancouver: Meneses JC, Gámez P, Mariscal A, Marrón C, Díaz-Hellín V, Cortes M, et al. Development of a non-heart-beating donor program and results after the first year. Transplant Proc. 2012 Sep;44(7):2047-9.
501			_aPMID: 22974905
504			_aContiene 8 referencias
520			_aOur lung transplant unit began activity in October 2008. We have performed 37 lung transplants with a hospital mortality of 2.7% (n = 1). The need for a greater number of donors and the presence of an already existent non-heart-beating donor (NHBD) program for abdominal grafts and tissues encouraged us to consider assessing lung grafts from these donors. It was necessary to develop a new multiorgan preservation methodology, "bithermia preservation." The clinical experience with which during the first year June 2010 to July 2011, including 15 NHBDs is presented herein. The chest x-ray was normal in 6 donors (40%) and 7 had pulmonary infiltrates. Bronchoscopy was normal in 8 donors (53%) but 3 had abundant bleeding airway secretions and signs of bronchoaspiration. Preservation procedures were performed in 6 donors. Pulmonary functional evaluation in 4 donors showed gas measurements to be adequate in 75% of cases. Three double-lung grafts were judged to be valid for implantation, among which we performed 3 lung transplantations, 1 bilateral and 2 unilaterals, while 2 grafts were offered to the National Transplant Organization for other units. No transplant suffered primary graft dysfunction; all 3 showed excellent function allowing early extubation in 2 cases. There was no in-hospital mortality. All 3 patients are alive and leading normal lives; none has bronchiolitis obliterans syndrome. In conclusion, the "bithermia preservation" methodology achieved adequate lung preservation in NHBDs, allowing liver, kidneys, and lungs to be obtained from the same donor.
710			_9380 _aServicio de Cirugía Torácica
710			_9271 _aServicio de Cirugía General y del Aparato Digestivo
710			_9118 _aServicio de Anestesiología y Reanimación
710			_988 _aServicio de Neumología
710			_9402 _aServicio de Medicina Física y Rehabilitación
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/6/pc6310.pdf _ySolicitar documento
942			_n0 _2ddc _cART
999			_c6310 _d6310