Susan L. Smith, MN, PhD


Organ Transplant 


The field of organ and tissue recovery, also referred to as the field of organ procurement, has changed drastically since the early days when a potential donor's hemodynamic stability was maintained using closed-chest massage by a machine made from an electric lawn mower[1] and organ recovery took place in the morgue or autopsy room under conditions far less than ideal.[2]

The objectives for this chapter are to:


  • Summarize the issues relevant to organ donation, procurement, and allocation

  • Describe the role of the organ procurement organization (OPO) in donation, procurement, and allocation

  • Define relative and absolute contraindications to organ donation

  • Define brain death

  • List criteria and confirmatory tests for making the determination of brain death

  • Discuss key clinical considerations in the clinical management of the brain dead patient who is a potential organ donor

  • Outline recent advances in organ procurement and donation.



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