Review Note

Last Update: 03/15/2024 10:45 AM

Current Deck: Collab4PG

Published

Modified Maastricht classification- Categories of non-heart-beating donors:

Category {{c1:: III }} = {{c2::Awaiting cardiac arrest}}

Category	Description	Circumstances	transplant team present - controlled absent - uncontrolled
I	Dead on arrival	Accident/suicide victims, fatal injuries, resuscitation deemed futile	Uncontrolled
II	Unsuccessful resuscitation	Unexpected cardiac/cerebral arrest, trauma victims	Uncontrolled
III	Awaiting cardiac arrest	Terminally ill patients with treatment withdrawal	Controlled
IV	Cardiac arrest after brain death	Unexpected arrest during/after brain death diagnosis	Controlled
V	Unexpected cardiac arrest (ICU)	Arrest during intensive care, transplant team not present	Uncontrolled

Modified Maastricht classification- Categories of non-heart-beating donors:

Category	Description	Circumstances
Category I	Includes victims of accident and suicide who are found dead at the scene and resuscitation is deemed pointless (e.g. fatal cervical spine fracture).	Uncontrolled - transplant team not present or prepared
Category II	victims of sudden cardiac or cerebral catastrophe who are brought to emergency departments while being resuscitated by ambulance personnel or who died in the department. Other sources include patients suffering an isolated brain injury, anoxia, and stroke, and victims of major trauma who died soon after hospital admission.	Uncontrolled - transplant team not present or prepared
Category III	Patients who are dying, often in an intensive care unit. These are the patients awaiting cardiac arrest where the treating clinicians have decided to withdraw treatment and not commence resuscitation for various reasons.	Controlled - transplant team present and prepared
Category IV	Comprises patients who suffer unexpected cardiac arrest during or after the determination of brain death.	Controlled - transplant team present and prepared
Category V	Unexpected cardiac arrest during intensive care -	Uncontrolled - transplant team not present or prepared

#$marrow::qbank::Medicine

Deck Changes (Suggestion to move the Note to the following Deck):

Field Changes:

Tag Changes: