Data to be entered in the clinical record form of all potential organ donors included in the study
| 1. | Identification of the potential donor: research centre code and patient’s hospital registration number, sex and date of birth. |
| 2. | Screening: inclusion and exclusion criteria for definition of eligibility. |
| 3. | History: date and time of hospital admission, date and time of ICU admission, reported and estimated weight, height, SAPS 3 on ICU admission, comorbidities prior to hospitalisation, cause of brain death, date and time of first clinical examination for the diagnosis of brain death. |
| 4. | Respiratory variables: tidal volume, mL; respiratory rate, mpm; PEEP, cm H2O; plateau pressure, cm H2O; peak pressure, cm H2O (if volume is controlled); FiO2, % Blood gas variables: PaO2, mm Hg; SaO2, %; PaCO2, mm Hg; base excess, mmol/dL; PcvO2, mm Hg; ScvO2, %; PcvCO2, mm Hg; lactate, mmol/dL. |
| 5. | Temperature and haemodynamic variables: temperature, °C; heart rate, bpm; systolic blood pressure, mm Hg; diastolic blood pressure, mm Hg; CVP, mm Hg and/or ΔPp, % and/or ΔSV, % and/or IVCCI, %; cardiac arrhythmias. |
| 6. | Diuresis and fluid balance: infused volume; diuresis and fluid balance at different time intervals. |
| 7. | Laboratory variables: haemoglobin, g/dL; creatinine, mg/dL; platelets, /mm3; bilirubin, mg/dL; sodium, mEq/L; potassium, mEq/L; magnesium, mEq/L; phosphorus, mEq/L; calcium, mEq/L. |
| 8. | Drug use: norepinephrine, dopamine, vasopressin, desmopressin, corticosteroids, antibiotics. |
| 9. | Family interview: time, place and name of the professional communicating the establishment of a brain death protocol to the family; time, place and name of the professional communicating the death to the family; time, place and name of the professional conducting the family interview with the request for organ donation; experience and qualification of the professional conducting the family interview with the request for organ donation; family authorisation for organ donation; loss of potential donor due to family refusal; causes of family refusal. |
| 10. | Protocol completion: date and time of second clinical examination for the diagnosis of brain death; date and time of a complementary test for the diagnosis of brain death; complementary test performed for the diagnosis of brain death. |
| 11. | Occurrence of cardiac arrest, loss of potential donor due to cardiac arrest, completion of organ harvesting, number and type of organs recovered. |
CVP, central venous pressure; FiO2, fraction of inspired oxygen; ICU, intensive care unit; IVCCI, Inferior Vena Cava Collapsibility Index; PaCO2, arterial partial pressure of carbon dioxide; PaO2, arterial partial pressure of oxygen; PEEP, positive end-expiratory pressure; PcvCO2, central venous partial pressure of carbon dioxide; PcvO2, central venous partial pressure of oxygen; SaO2, arterial oxygen saturation; SAPS 3, Simplified Acute Physiology Score 3; ScvO2, venous oxygen saturation; ΔPp, pulse pressure respiratory variation; ΔSV, stroke volume respiratory variation.