ANESTHESIA GUIDELINES FOR ORGAN RECOVERY
GOALS/INTERVENTIONS:
1. BP >90 SYSTOLIC and MAP >70
2. Sinus rhythm
3. Normothermia
4. Serum Glucose < 150
INTERVENTIONS:
1. Radial/femoral arterial line and large volume venous access.
2. Consult with the PNTB coordinator before administering blood products or colloids.
3. IV fluids as necessary.
4. Dopamine is the preferred inotrope, then Neosynephrine.
5. Warm humidified inspired gases, heating blanket on OR table.
6. DISCONTINUE HEATING MEASURES AT CROSS CLAMP.
7. Organ perfusion begins at cross clamp. Discontinue mechanical ventilation and monitoring at cross clamp,
unless lungs are being recovered. For lung recovery, continue ventilation until lungs are removed.
*(During the intraoperative course, manipulation of organs will occur and may cause blood pressure changes and/or
arrhythmia’s. Please notify the surgeons if the donor becomes unstable during manipulation. The PNTB coordinator is
available to assist and answer questions as needed. At the completion of the case, the PNTB coordinator will request a
copy of the anesthesia record.)
MEDICATIONS ADMINISTERED BY ANESTHESIOLOGIST:
1. Mannitol 1 Gm/kg IV upon skin incision – will come with donor to OR.
2. Heparin 30,000 units IV just prior to cross clamp – PNTB coordinator will provide. Dosage will be adjusted for
pediatric cases.
3. Paralytics – prior to skin incision for all donors.
4. Insulin IV to keep serum glucose <150, if necessary.
5. Antibiotics – will come with donor to OR, if necessary.
LAB TESTS:
As clinically indicated. The PNTB coordinator may request ABG’s or other labs if necessary to complete the organ
evaluation process.
Billing address:
Pacific Northwest Transplant Bank
2611 SW Third Ave, Suite 320
Portland, OR 97201-4952
503-494-5560 office
1-800-344-8916 24 hour line
Document1 revised 11/16/11