Abstract

DA LOZZO, Alejandro Gabriel et al. Strategies to increase the availability of organs destined for lung transplantation. Approach from Argentina. Rev. am. med. respir. [online]. 2021, vol.21, n.4, pp.392-399. ISSN 1852-236X.

Given the shortage of lung donors and the increase in patients and deaths on the waiting lists, there are several strategies that could be carried out. Promotion strategies are necessary, continuous and transversal to the entire process. Strategies that attempt to enhance organ procurement involve continuous improvement in the quality of healthcare, which is highly profitable in our context. Interventions on grafts distribution are already in use and have generated improvements in access to lung transplantation. Laxity in the selection criteria generates higher costs, sometimes with negative consequences, so a case-by-case selection must be applied. Ex vivo lung perfusion is effective, although it does not appear to be a cost-effective intervention in our country, other strategies must be implemented previously. The use of non-heart-beating lung donors requires an investment in a logistics system that nowadays does not seem viable in Argentina.

Keywords : Lung transplantation; Organ transplantation; Donor selection; Tissue and organ procurement.

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