Intensive Care Society of Ireland — Guidelines for management of the potential organ donor (2018—2nd edition)

  • Ian Conrick-MartinEmail author
  • Alan Gaffney
  • Rory Dwyer
  • Colman O’Loughlin
  • Frances Colreavy
  • on behalf of the Intensive Care Society of Ireland
Brief Report


Advances in transplant surgical techniques and immunosuppressive therapies have led to increasing numbers of patients with end-stage organ failure being treated with an organ transplant. There is increasing evidence that success rates of transplantation can be improved with optimal management of the potential organ donor [1]. Thus it is important, after diagnosis of brain death, that optimal physiological support is maintained to allow the option of organ donation if this was the patient’s known wish.

The guidelines as outlined should be implemented only after the diagnosis of brain death in patients who are potential organ donors. Before the diagnosis of brain death, patients should be managed as appropriate for their underlying condition. After the diagnosis of brain death, should the patient have wished to become an organ donor, treatment becomes oriented toward optimising organs that may be retrieved for transplantation rather than toward neuroprotection.




Thanks to Colm Kavanagh, Printing Dept, Beaumont Hospital, for formatting this document.

Compliance with ethical standards

Competing interests

The authors declare that they have no competing interests.


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Copyright information

© Royal Academy of Medicine in Ireland 2019

Authors and Affiliations

  1. 1.Department of Critical Care MedicineMater Misericordiae University HospitalDublin 7Ireland
  2. 2.Department of Anaesthesia and Intensive Care MedicineBeaumont HospitalDublin 9Ireland

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