Analiza donorskog programa u Kliničkom bolničkom centru Split u razdoblju od 2015. - 2020. godine

master's thesis

• Title (english): Analysis of the donor program in the Clinical hospital center Split in the period from 2015. - 2020.
• Author: Matea Puljiz
• Mentor: Sanja Konosić (mentor)
• Committee member: Slobodan Mihaljević (predsjednik povjerenstva)
• Committee member: Eleonora Goluža (član povjerenstva)
• Committee member: Sanja Konosić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Anaesthesiology, Resuscitation and Intensive Care in Surgical Specialities); Zagreb
• Defense date and country: 2021-09-28, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Anesthesiology and Reanimatology

Abstract

Veliki broj država ima problem s nestašicom organa za transplantiranje. Potrebe su
uglavnom mnogo veće od broja dostupnih organa. Doniranje organa je čin ljubavi prema
čovjeku u nevolji, dakle prava vjernička krepost. Eksplantacija je proces uzimanja organa
nakon ustanovljene moždane smrti osobama kod kojih vitalne funkcije održavamo pomoću
aparata i lijekova. Eksplantacijski proces je zahtjevan, organizira ga bolnički transplantacijski
koordinator, koji ujedno nadzire cijeli proces eksplantacije. Smrt mozga je ireverzibilni gubitak
svih integralnih funkcija neurona i treba je shvatiti kao jednu od najvažnijih kliničkih dijagnoza
u jedinicama intenzivnog liječenja (JIL). Moždana smrt dokazuje se kliničkim i parakliničkim
testovima. Nakon dokazane moždane smrti poziva se bliska obitelj na razgovor o mogućnosti
doniranja organa za presađivanje, koja često u tom trenutku nije na razini da razumije stanje i
donese odgovarajuću odluku. Nakon prikupljenog pristanka pristupa se prikupljanju
dokumentacije, organizaciji same eksplantacije kao i transportu eksplantiranih organa. U
očuvanju organa do eksplantacije sudjeluje visokospecijalizirano medicinsko osoblje (liječnici
i medicinske sestre) koje procjenjuje funkcije organa za eksplantaciju i visoko specijaliziranim
medicinskim radom održavaju organ u funkciji do krajnjeg cilja, a to je transplantiranje osobi
kojoj je taj organ potreban.
U KBC-u Split, također, se provodi eksplantacijski program. Prikazat ću analizu provedbe za
razdoblje od 2015. - 2020. godine.

Abstract (english)

A large number of ststes have a problem with organ shortages. The needs are generally
much greater than the number of organa available. Organ donation is an act of love for a
person in need, therefore a true religious virtue. Explanation is the process of taking organs
after established brain death in people whose vital functions are maintained with the help of
apparatus and drugs. The explantation process is demanding, organized by the hospital
transplant coordinator, who simply oversees the entire explantation process. Brain death is an
irreversible loss of all integral neuronal functions and should be understood as one of the most
important clinical diagnoses in intensive care units (ICUs). Brain death is proven by clinical
and paraclinical tests. After a proven brain death, a close family is invited to discuss the
possibility of donating an organ transplant, which is often not up to the task at that time to
understand the condition and make an appropriate decision. After the consent has been
collected, the collection of documentation, the organization of the explantation itself as well as
the transport of the explanted organs are approached. Highly specialized medical staff (doctors
and nurses) participates in the preservation of an organ until explantation.
An explantation program is also being implemented at KBC Split. I will present an analysis of
implementation for the period 2015-2020.

• Keywords: doniranje i eksplantacija organa; koordinator; moždana smrt; uloga liječnika i medicinske sestre u održavanju donora i eksplantiranog organa; analiza donorskog programa u KBC-u Split
• Keywords (english): organ donation and explantation; coordinator; brain death; the role of doctors and nurses in the maintenance of donors and explanted organs; analysis of the donor program at the Clinical Hospital Center Split.
• Language: croatian
• URN:NBN: urn:nbn:hr:105:116963
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-07-11 12:18:00