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Caring for organ donors on anesthesiology and resuscitation department
BURDA, Michal
Transplantology is essential branch of medicine, which is subject to legislative norms and international conventions, but it must be understood primarily as an ethical problem, which solves a major life decision and save human life. It is not just about a medical site. Actual operations precede the long preparation, many examinations and also nursing care. Although this is a very broad field of medicine, there is not a large number of publications dealing with general questions. This work was created to unify information on transplantation medicine and especially information regarding organ donation and care of them. The theoretical part deals with the whole range of activities that precede the actual transplantation. It contains history, legislation, transplantology basic terms, allocation of organ donors, the determination of brain death, the care of organ donors, coordinating transplantations, national health registers. The practical part deals with mapping techniques in diagnosis and treatment and examines an approach to donors at the Anaesthesiology-Resuscitation Departments of selected hospitals. This part of the work also compares the procedures under the care of individual departments. As a part of this research I have done semistructured interviews with individual workers from Anaesthesiology-Resuscitation Departments; the results were evaluated and processed. In conclusion, I must say that we have a good care for organ donors in our country. Despite some theoretical deficiencies, it is clear that workers respect of established procedures and follow the latest instructions provided directly to individual transplant centers. This statement is supported by figures that confirm the upward trend and quality work of Czech health workers and doctors. The Czech Republic is nowadays one of the leading countries in the world comparable to transplant centers.
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