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Successful extracorporeal membrane oxygenation transport of a 4-month-old brain-dead infant for organ donation: A case report.
Pediatr Transplant 2019; :e13515PT

Abstract

A 4-month-old infant was declared brain-dead 2 days after being initiated on venoarterial ECMO for a refractory septic shock. All brain death diagnostic criteria were fulfilled according to French law, and parental consent was given for organ donation. The hospital where ECMO was initiated had no authorization for organ procurement, and the donor was then transferred to the local referral center for child organ recovery with our mobile ECMO team to maintain organ perfusion. The kidneys were recovered and successfully transplanted to a child who is now well and alive. Although the transport elements of this case report are of limited relevance to an international audience as no other country, to our knowledge, has this particular organization, it does show excellent collaboration between teams to realize the goal of organ donation for this family. This is the first case describing a successful inter-hospital transport for organ procurement of a brain-dead infant on ECMO. Brain-dead pediatric patients undergoing ECMO can be considered as potential organ donors to expand the donor pool.

Authors+Show Affiliations

Pediatric Intensive Care Transport Unit, Hôpital Robert Debré, AP-HP, Université Paris Diderot, Paris, France.Pediatric Intensive Care Transport Unit, Hôpital Robert Debré, AP-HP, Université Paris Diderot, Paris, France.Pediatric Intensive Care Unit, Hôpital Robert Debré, AP-HP, Université Paris Diderot, Paris, France. Organ Donation Coordination, Hôpital Robert Debré, AP-HP, Université Paris Diderot, Paris, France.Pediatric Intensive Care Transport Unit, Hôpital Robert Debré, AP-HP, Université Paris Diderot, Paris, France.Department of Surgery, Hôpital Robert Debré, AP-HP, Université Paris Diderot, Paris, France.Department of Surgery, Hôpital Trousseau, AP-HP, Université Pierre et Marie Curie, Paris, France.Neonatal and Pediatric Intensive Care Unit, Hôpital Trousseau, AP-HP, Université Pierre et Marie Curie, Paris, France.Organ Donation Coordination, Hôpital Robert Debré, AP-HP, Université Paris Diderot, Paris, France.Neonatal and Pediatric Intensive Care Unit, Hôpital Trousseau, AP-HP, Université Pierre et Marie Curie, Paris, France.Neonatal and Pediatric Intensive Care Unit, Hôpital Trousseau, AP-HP, Université Pierre et Marie Curie, Paris, France.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31441187

Citation

Leblanc, Claire, et al. "Successful Extracorporeal Membrane Oxygenation Transport of a 4-month-old Brain-dead Infant for Organ Donation: a Case Report." Pediatric Transplantation, 2019, pp. e13515.
Leblanc C, Genuini M, Deho A, et al. Successful extracorporeal membrane oxygenation transport of a 4-month-old brain-dead infant for organ donation: A case report. Pediatr Transplant. 2019.
Leblanc, C., Genuini, M., Deho, A., Lodé, N., Philippe-Chomette, P., Hervieux, E., ... Jean, S. (2019). Successful extracorporeal membrane oxygenation transport of a 4-month-old brain-dead infant for organ donation: A case report. Pediatric Transplantation, pp. e13515. doi:10.1111/petr.13515.
Leblanc C, et al. Successful Extracorporeal Membrane Oxygenation Transport of a 4-month-old Brain-dead Infant for Organ Donation: a Case Report. Pediatr Transplant. 2019 Aug 22;e13515. PubMed PMID: 31441187.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Successful extracorporeal membrane oxygenation transport of a 4-month-old brain-dead infant for organ donation: A case report. AU - Leblanc,Claire, AU - Genuini,Mathieu, AU - Deho,Anna, AU - Lodé,Noëlla, AU - Philippe-Chomette,Pascale, AU - Hervieux,Erik, AU - Amblard,Alain, AU - Pracros,Nancy, AU - Léger,Pierre-Louis, AU - Jean,Sandrine, Y1 - 2019/08/22/ PY - 2018/11/21/received PY - 2019/04/29/revised PY - 2019/05/14/accepted PY - 2019/8/24/entrez KW - ECMO KW - organ donation KW - pediatric KW - transport SP - e13515 EP - e13515 JF - Pediatric transplantation JO - Pediatr Transplant N2 - A 4-month-old infant was declared brain-dead 2 days after being initiated on venoarterial ECMO for a refractory septic shock. All brain death diagnostic criteria were fulfilled according to French law, and parental consent was given for organ donation. The hospital where ECMO was initiated had no authorization for organ procurement, and the donor was then transferred to the local referral center for child organ recovery with our mobile ECMO team to maintain organ perfusion. The kidneys were recovered and successfully transplanted to a child who is now well and alive. Although the transport elements of this case report are of limited relevance to an international audience as no other country, to our knowledge, has this particular organization, it does show excellent collaboration between teams to realize the goal of organ donation for this family. This is the first case describing a successful inter-hospital transport for organ procurement of a brain-dead infant on ECMO. Brain-dead pediatric patients undergoing ECMO can be considered as potential organ donors to expand the donor pool. SN - 1399-3046 UR - https://www.unboundmedicine.com/medline/citation/31441187/Successful_extracorporeal_membrane_oxygenation_transport_of_a_4-month-old_brain-dead_infant_for_organ_donation:_A_case_report L2 - https://doi.org/10.1111/petr.13515 DB - PRIME DP - Unbound Medicine ER -