The goal of clinical donor management is to optimize and maintain organ function. For donation following brain death determination, donor management begins when brain death has been determined and authorization or donor designation for organ donation has been obtained. For donation after circulatory death, following authorization, donor management is led by the health care team.
For those patients who have not been declared brain dead, DNA recommends the Catastrophic Brain Injury Guidelines to avoid the instability of patients prior to and following brain death and to preserve the opportunity for donation and successful organ transplants.
These guidelines were developed by a trauma surgeon and emergency department physician out of Midwest Organ Transplant. They developed management guidelines based on the “Surviving Sepsis” campaign with the goal to save more lives by preserving the opportunity for donation.