Upload
cornelius-hampton
View
217
Download
0
Embed Size (px)
Citation preview
• Kidney Allocation Scenario: – 20 y.o. female, type I diabetic, anoxic
head injury–Normal kidney lab values, KDPI 25%– Kidney Allocation for Donors with KDPI
21-34%• Sequence #1-3: national 100% CPRA,
National• Sequence #4 : 98% CPRA, Local• Sequence 5-142: Local
Allocation Scenario
• Offers to Sequence # 1-3– Sequence #1: Provisional yes• Preliminary Blood sent for crossmatch
– Sequence #2: Decline– Sequence #3: Provisional yes• Preliminary Blood sent for crossmatch
Allocation Plan
• Sequence #1: Decline while in the OR for donor quality
• Sequence #3: Decline while organ being boarded on plane for positive crossmatch
• Sequence #4: Placement of left kidney
• Reallocation of right kidney: – Sequence #13
Final Allocation
• How has the new KAS impacted your program?
• Have you experienced greater need to request or send blood for preliminary crossmatch. – If so, what are the impacts on your
program and what is involved in your decision making process?
Questions