Practice Point

Nature Clinical Practice Nephrology (2007) 3, 78-79
doi:10.1038/ncpneph0377  
Received 17 August 2006 | Accepted 7 November 2006

Favorable outcomes of kidneys from non-heart-beating donors whose cardiac arrest occurred out of hospital

David Talbot

Correspondence Freeman Hospital, Liver Unit, High Heaton, Newcastle-upon-Tyne, NE7 7DN, UK

Email
 d.talbot@ncl.ac.uk

This article has no abstract so we have provided the first paragraph of the full text.

NHBDs or 'donors after cardiac death', are donors who have had a cardiac arrest; after a 'no-touch time' (usually 5 min), death is declared and perfusion can commence. All such donors have been exposed to primary warm ischemia, so all their organs have been 'damaged'. The degree of damage is inversely related to the Maastricht grade: uncontrolled (Maastricht I and II) donors are subject to more ischemia than controlled (Maastricht III and IV) donors; Maastricht V donors lie somewhere between the two. See Supplementary Information online for definitions of the Maastricht grades.

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