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Organ Recovery & Preservation

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Christina Pippin

This document discusses the organ procurement process from donor stabilization and transport to organ recovery and preservation techniques. It emphasizes the importance of maintaining cellular homeostasis and minimizing ischemia to prevent organ damage. Key steps include proper IV access, ventilation, operating room preparation, documentation, and using preservation solutions to suppress metabolism until transplantation.

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Organ Recovery & Preservation CPTC Review Course Christina B. Pippin, RN, CPTC
Understanding the Procurement Process
Donor stability during transport… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ventilation & Transport… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Preparing the Operating Room… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aseptic Technique ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Documentation & verbal reports… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Operating Room Responsibilities (Scrub) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Operating Room Responsibilities (Circulator) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Coordinating Transportation… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medications & Procurement Why are they given??? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Understanding Preservation Techniques When we understand “ WHY and HOW” tissue damage occurs... what we do & how we do it inevitably becomes “second nature”.
The Cell The fundamental unit of life… ,[object Object],[object Object],[object Object]
From Cells to Tissues… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
From Tissues to Organs… ,[object Object],Connective Tissue Epithelial Tissue Muscle Tissue Nerve Tissue Autonomic nervous tissue innervates cardiac muscle Illustration of a cross section of the left ventricle
Why is the human cell important to understanding the organ preservation process??? ,[object Object],[object Object],[object Object],[object Object],Phagocytosis
Goal of Organ Preservation A. Acute cellular swelling B. Normal cells C. Swelling & Rupture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],T o prevent organ damage by creating a homeostatic cellular environment until transplantation of the graft can occur…
Phases of Organ Damage ,[object Object],[object Object]
Mechanisms of Tissue Injury… ,[object Object],[object Object]
Compromised Composition of the Cell… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Compromised Composition of the Cell… ,[object Object]
Reperfusion Injury ,[object Object],[object Object]
Solutions are the Solution! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prep & Packaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Labeling ,[object Object],[object Object],[object Object],[object Object]
A few points on preservation method… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cold Ischemia Times Organ Accepted CIT Hours Heart 3-4 Lung 3-5 Liver <24 Kidney (CS) 24-36 Kidney (MP) 72 Pancreas 12-24 Intestine 6
Document Data Associated with Organ Recovery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Q.A.
Document Data Associated with Organ Recovery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Q.A.
Document Data Associated with Organ Recovery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Document Data Associated with Organ Recovery ,[object Object],[object Object],[object Object],[object Object]
Case Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object]
Make the Call… ,[object Object],[object Object],[object Object]

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Organ Recovery & Preservation

  • 1. Organ Recovery & Preservation CPTC Review Course Christina B. Pippin, RN, CPTC
  • 2. Understanding the Procurement Process
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. Understanding Preservation Techniques When we understand “ WHY and HOW” tissue damage occurs... what we do & how we do it inevitably becomes “second nature”.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27. Cold Ischemia Times Organ Accepted CIT Hours Heart 3-4 Lung 3-5 Liver <24 Kidney (CS) 24-36 Kidney (MP) 72 Pancreas 12-24 Intestine 6
  • 28.
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  • 30.
  • 31.
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  • 33.