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Organprotektive Intensivtherapie und Simulatortraining

Organ protective intensive care treatment and simulation-based training

  • Intensivmedizin
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Zusammenfassung

Die Bereitschaft zur Organspende ist in Deutschland nach wie vor unzureichend. Bei Weitem nicht alle Patienten auf den Wartelisten erhalten rechtzeitig ein geeignetes Spenderorgan. Die adäquate intensivmedizinische Versorgung des Organspenders ist bislang in Lösungsansätzen dieses Problems wenig beachtet worden. Bei zunehmendem Alter und zunehmender Komorbidität ist eine adäquate intensivmedizinische Therapie des Spenders für den Erfolg der möglichen Transplantationen unabdingbar. Randomisierte klinische Studien zur organprotektiven Therapie sind jedoch nicht ausreichend verfügbar. Die vorliegende Übersicht fasst die aktuelle wissenschaftliche Literatur zusammen und gibt einen Ausblick auf Lösungsansätze. Dabei könnten die Durchführung multizentrischer Studien sowie die intensivierte Aus- und Weiterbildung von ärztlichem und pflegerischem Intensivpersonal erste wesentliche Schritte sein, diesen Zustand zu verbessern. Auch die Weiterentwicklung und Etablierung curricularer Fortbildungen an Simulatoren ist ein vielversprechender Ansatz zur quantitativen und qualitativen Steigerung der Organspende.

Abstract

In Germany the extent of organ donation is still inadequate and not sufficient to address patients on the waiting lists. Nevertheless, intensive care treatment of potential organ donors does not receive adequate attention. However, because of the increasing age and comorbidities of organ donors in recent years, a sufficient intensive care treatment is indispensable for the success of organ transplantations. Sufficient randomized clinical trials are lacking. This article reviews the current literature and describes approaches for improvement. Multicentre studies and education of medical staff of intensive care units, for example in intensive care simulation for organ protection, could potentially be a successful approach. The improvement and establishment of curricular training and education particularly in simulation workshops might be a promising approach to enhance the quantity and quality of organ donations.

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Authors and Affiliations

  1. I. Medizinische Klinik und Poliklinik, Universitätsmedizin Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland

    J.W. Rey & P.R. Galle

  2. Klinik für Anästhesiologie und operative Intensivmedizin, Universitätsmedizin Mainz, Mainz, Deutschland

    T. Ott & C. Werner

  3. Deutsche Stiftung Organtransplantation (DSO), Region Nord-Ost, Berlin, Deutschland

    D. Bösebeck

  4. Klinik für Neurochirurgie, Universitätsmedizin Mainz, Mainz, Deutschland

    S. Welschehold

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  1. J.W. Rey
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  2. T. Ott
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  3. D. Bösebeck
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  5. P.R. Galle
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Correspondence to J.W. Rey.

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Rey, J., Ott, T., Bösebeck, D. et al. Organprotektive Intensivtherapie und Simulatortraining. Anaesthesist 61, 242–248 (2012). https://doi.org/10.1007/s00101-012-1990-8

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