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The Impact of CBIGs on Achievement of Donor Management Goals at a Level 1 Trauma Center

The Impact of CBIGs on Achievement of Donor Management Goals at a Level 1 Trauma Center. L. Quinn, J.P. Orlowski, W . McTague, C.A. Jones Center for Donation & Transplant Albany, New York. Introduction & Aim of Study.

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The Impact of CBIGs on Achievement of Donor Management Goals at a Level 1 Trauma Center

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  1. The Impact of CBIGs on Achievement of Donor Management Goals at a Level 1 Trauma Center • L. Quinn, J.P. Orlowski, W. McTague, C.A. Jones • Center for Donation & Transplant • Albany, New York

  2. Introduction & Aim of Study • Introduction of Catastrophic Brain Injury Guidelines (CBIGs) at Level 1 Trauma Center in 2006 • Developed by Director of MICU and SICU • Standards of care in Guidelines • Reference tool • Aim of Study • Did CBIGs impact the achievement of Donor Management Goals (DMGs) in adult brain dead donors?

  3. Material and Methods • Retrospective analysis of DMGs met before and after CBIGs implemented • N=133 • 67 donors in pre-CBIGs data • January 2001 – February 2006 • 66 donors in post-CBIGs data • March 2006 – December 2010

  4. Donor Management Goals • Systolic BP > 100mm • 1 pressor @10mcg/kg/min. or less • Urine Output @ 1-2cc kg/hr • pO2 > 100 • Na < 160 • pH within normal limits 7.35 - 7.45 • Temperature 36.5 - 37.5 • Arterial line in place • Central line in place with monitor

  5. Results • After CBIGs were implemented: • 78% of individual DMGs met more often • Increase in goal achievement ranged from 4% to 33% • 1 goal was met at the same rate • Two goals were met less often in post-CBIGs data

  6. DMGs Met Pre & Post CBIGs

  7. Results

  8. Conclusions • Positive relationship between use of CBIG’s prior to brain death and goals met post-BD • Decline in success rate of p02 and pH • Better managed patients = more stable donors

  9. Contact L. Quinn Center for Donation & Transplant lquinn@cdtny.org 518.262.5606

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