Controlled asystole protocols: a key to more organ donors?

  • Yerlin Andrés Colina Vargas Central Anesthesiology Service, Centro Médico Teknon. Barcelona, Spain; Anesthesiology, Clínica Universitaria Bolivariana, Universidad Pontificia Bolivariana. Medellín, Colombia; Organ, Tissue, and Cell Donation and Transplant Clinic, University of Barcelona. Barcelona, Spain. https://orcid.org/0000-0002-0581-288X
  • David Paredes Zapata Donation and Transplant Coordination Section, Hospital Clinic. Barcelona, Spain; Departament de Cirurgia i Especialitats Medicoquirúrgiques, Facultat de Medicina i Ciències de la Salut. Universitat de Barcelona. Barcelona, Spain. https://orcid.org/0000-0001-9740-4439
  • Juan Ignacio Marín Hepatology and Liver Transplant Unit, Hospital Pablo Tobón Uribe. Medellín, Colombia. https://orcid.org/0000-0001-6954-8910
  • Leonardo Mojica Peñaranda Hepatology and Liver Transplant Unit, Hospital Pablo Tobón Uribe. Medellín, Colombia.
  • Cristian Vera Marín Faculty of Medicine, School of Health Sciences, Universidad Pontificia Bolivariana. Medellín, Colombia. https://orcid.org/0000-0001-6775-151X
  • Carlos Ramírez-Paesano Central Anesthesiology Service, Centro Médico Teknon. Barcelona, Spain. https://orcid.org/0000-0002-1396-8382
DOI: https://doi.org/10.5554/22562087.e1149
Keywords: Transplantation, Tissue and organ procurement, Donor selection, Brain death, Induced cardiac arrest
Abstract References How to Cite Downloads

Abstract

Introduction: Donation after controlled circulatory death (DCD) is organ donation that takes place following diagnosis of death by cardio-respiratory criteria. This diagnosis is certified in patients admitted to the Intensive Care Unit (ICU) following the withdrawal of life-support treatment.

Objectives: To describe the main causes of mortality that make the patient a potential donor under a controlled asystole protocol within the ICU of Hospital Pablo Tobón Uribe in Medellín, Colombia.

Methods: This was an observational, descriptive, retrospective study conducted in adult patients who died during the first quarter of 2024 in any of the ICUs at Hospital Pablo Tobón Uribe in Medellín. Data obtained were analyzed using descriptive statistical methods, and all statistical analyses were performed using Jamovi software.

Results: A total of 103 participants were included, 36 women (35%) and 67 men (65%), with a median age of 61 years (44.5–72). The leading cause of death among participants was septic shock. Seventeen potential donors (16.7%) were identified.

Conclusions: There is significant potential to increase the organ donation rate through the implementation of appropriate controlled asystole protocols.

References

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How to Cite
1.
Colina Vargas YA, Paredes Zapata D, Marín JI, Mojica Peñaranda L, Vera Marín C, Ramírez-Paesano C. Controlled asystole protocols: a key to more organ donors?. Colomb. J. Anesthesiol. [Internet]. 2025 May 21 [cited 2025 Jul. 19];. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/1149

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Published
2025-05-21
How to Cite
1.
Colina Vargas YA, Paredes Zapata D, Marín JI, Mojica Peñaranda L, Vera Marín C, Ramírez-Paesano C. Controlled asystole protocols: a key to more organ donors?. Colomb. J. Anesthesiol. [Internet]. 2025 May 21 [cited 2025 Jul. 19];. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/1149
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