History of NHBDs goes back to 1951 for kidneys. Dead donor rule reviewed - only taking organs from dead donors. NHBDs usually after 2-4 minutes after heart has stopped and death has been declared. Issues related to consent and any actions on the patient prior to consent. Does not condone any invasive preparation prior to consent.
Machine perfusion is preferable.
Majority of organs being transplanted are kidneys at this time. Reviewed different center studies. Vasodialators were also found to be important to combat the increased release of catacholamines. Surgical Removal Ex-vivo flush on back table Machine perfusion Average of 17min. No difference in primary non-function and 10 yr, pt. and graft survival rates.