Heart and Lung Transplant National Recovery Program
14286 Beach Blvd STE 19, Jacksonville Beach, FL 32250
Primary survey for Donor Net's call for lungs is an important responsibility. By providing accurate and detailed information about potential organ donors, we play a critical role in the process of matching donors with those in need. Our attention to detail and commitment to thoroughness can make all the difference in ensuring successful selection.
During the process of listing a patient with advanced lung disease for lung transplantation, the patient's indication for transplantation, disease-based preference for bilateral or single lung transplantation (BLT, SLT), comorbidities, surgical risk, blood type, and existence of donor specific antibodies are all reviewed.
We can take calls 24/7 to cover this step of transplantation
We have a nationwide network of pulmonologists to perform the primary survey
Competitive call rate
The surgical team must follow a precise protocol to handle the lung with care and avoid tissue injury. The procurement involves careful dissection of the lung including the bronchus, pulmonary vessels, and the trachea. It is crucial to maintain the structural integrity of the lung and ensure it remains viable for transportation. Different preservation techniques are used to ensure that the lung remains optimized for transplant. One such technique is cold storage which involves placing the lung in a solution chilled to an optimal temperature. The solution reduces the metabolic rate of the lung cells, thereby reducing metabolic demand and also reduces the risk of temperature excursion. Other techniques include machine perfusion and normothermic preservation, which are newer preservation methods that aim to closely replicate the physiological environment of the lung.
We provide the surgeon
We provide an assistant
We provide a preservationist
We can provide the full team as a package
We make sure to follow each institution’s preferences in the recovery process
The success of this procedure depends primarily on speed, surgical technique, preservation, and evaluation. Careful dissection and extraction of the lungs to prevent damage, optimal preservation technique to prevent deterioration and evaluation of lung viability is essential for successful outcomes.
We have an efficient team to perform DCD Lungs
We are trained to use organ care system (OCS)
We can help local surgeons to perform DCD hearts
Procurement of marginal lungs and sending them to Ex Vivo Lung Perfusion (EVLP) is a crucial step to increase the donor pool. Marginal lungs may have some degree of damage or imperfection but can still be useful for transplantation. They are usually collected from donors who are at risk for lung disease or have a history of smoking.
Ex Vivo Lung Perfusion (EVLP) is technology used to evaluate, rehabilitate and transport marginal lungs for transplantation. The process involves placing the lungs in a device where they are perfused with oxygen and a solution providing nutients and medications. During this process, the lungs are evaluated for their function and suitability for transplantation.
After the lungs have been rehabilitated and assessed, they are transported to the transplant center where they are matched with suitable recipients. The process of procuring, evaluating, and transporting marginal lungs for EVLP requires specialized equipment, highly trained personnel, and strict adherence to safety protocols.