Table 2.
Main findings on the health care professional’s management of potential lung donors
| Management | n (%) |
|---|---|
| Apnea test | |
| Done at least once | 442 (88.8) |
| Type of apnea test | |
| Preoxygenation and disconnection from the ventilator | 378 (85.5) |
| Artificial increase of CO2 | 30 (6.8) |
| CPAP | 24 (5.6) |
| Controlled hypoventilation | 6 (2.1) |
| Used a PLD management protocol | 92 (18.5) |
| Ventilation setting after brain death confirmation | |
| Did not change | 244 (49) |
| Main change in ventilation setting | |
| Vt and PEEP | 138 (56.6) |
| FiO2 | 64 (26.2) |
| Other | 42 (17.2) |
| Ventilatory strategy for PLD | |
| Vt of 6 - 8mL/kg and PEEP of 5cmH2O | 222 (44.6) |
| Do not know | 114 (22.9) |
| Vt of 6 - 8mL/kg and PEEP de 8 - 10cmH2O | 70 (14.0) |
| Vt of 8 - 10mL/kg | 72 (14.4) |
| Vt of 10 - 12mL/kg | 20 (4.1) |
| Interventions in case of PaO2/FiO2 < 300 in PLD | |
| Done at least once | 419 (84.1) |
| Type of interventions | |
| PEEP titration | 268 (64.0) |
| Endotracheal suctioning | 262 (62.5) |
| Recruitment maneuver | 238 (56.7) |
| Mucus clearance techniques | 230 (54.9) |
| Bronchoscopy | 51 (12.2) |
CO2 - carbon dioxide; CPAP - continuous positive airway pressure; PLD - potential lung donors; Vt - tidal volume; PEEP - positive end expiratory pressure; FiO2 - fraction of inspired oxygen; PaO2/FiO2 - arterial oxygen partial pressure/fractional inspired oxygen.