Donation after circulatory death Flashcards

1
Q

What is the time period required in South Africa to certify someone as dead?

A

5 minutes

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2
Q

Give the preconditions for circulatory death

A
  1. Individual does not meet the criteria for CPR
  2. Failed attempts at CPR
  3. Life-sustaining treatment has been withdrawn
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3
Q

How is the absence of mechanical cardiac function determined clinically?

A
Absent pulse (palpation)
Absent heart sounds (auscultation)
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4
Q

How long after circulatory death declaration can kidneys be donated?

A

2 hours

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5
Q

How long after circulatory death declaration can lungs be donated?

A

1 hour

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6
Q

How long after circulatory death declaration can liver be donated?

A

30min

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7
Q

How long after circulatory death declaration can pancreas be donated?

A

30min

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8
Q

How long after circulatory death declaration can heart be donated?

A

Cannot be donated - warm ischaemic damage too great

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9
Q

What is the warm ischaemic period?

A

Time when patient is warm but not receiving oxygenated blood

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10
Q

Discuss the Mastricht classification system

A

Controlled:
I - dead on arrival
II - unsuccessful resus
III - circulatory death anticipated w/ withdrawal of treatment
IV - pt already brain dead w/ proceeding circulatory arrest
Uncontrolled:
V - pt in ICU w/ unexpected circulatory arrest

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