{"id":13449,"date":"2016-12-06T15:56:13","date_gmt":"2016-12-06T14:56:13","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=13449"},"modified":"2021-04-20T18:05:50","modified_gmt":"2021-04-20T16:05:50","slug":"question-a-thierry-benard-anesthesiste-reanimateur","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/question-a-thierry-benard-anesthesiste-reanimateur\/","title":{"rendered":"Question \u00e0 Thierry B\u00e9nard, anesth\u00e9siste-r\u00e9animateur"},"content":{"rendered":"

Docteur B\u00e9nard, vous travaillez en bin\u00f4me avec le docteur Thomas Kerforne. Pouvez-vous nous expliquer la nature de votre activit\u00e9 au sein de la coordination des pr\u00e9l\u00e8vements multi-organes et tissus (PMO) ?<\/strong>
\nAvec Thomas Kerforne, nous nous partageons le travail. Il s\u2019occupe de la recherche clinique tandis que je m\u2019occupe plut\u00f4t de la partie fonctionnelle de l\u2019unit\u00e9. Il s\u2019agit de l\u2019organisation interne et de la gestion quotidienne du service avec l\u2019\u00e9quipe param\u00e9dicale. Mais l\u2019ensemble des d\u00e9cisions est toujours prise de concert entre nous.<\/p>\n

Quel est le protocole suivi pour le pr\u00e9l\u00e8vement de greffons ?<\/strong>
\nLe CHU de Poitiers est un centre agr\u00e9\u00e9 pour le pr\u00e9l\u00e8vement d\u2019organes dans le cadre du Maastricht III. Concr\u00e8tement, nous pouvons pr\u00e9lever des organes chez des patients d\u00e9c\u00e9d\u00e9s apr\u00e8s r\u00e9alisation d\u2019une limitation et arr\u00eat des th\u00e9rapeutiques (LATA) en r\u00e9animation. Cela nous permet d\u2019acc\u00e9der \u00e0 une autre cat\u00e9gorie de donneurs potentiels, pouvant correspondre \u00e0 un donneur par mois. Au CHU, nous sommes habilit\u00e9s \u00e0 pr\u00e9lever les poumons et les reins dans le cadre de ce protocole qui exige beaucoup de moyens humains et mat\u00e9riels, comme la mise en place d\u2019une circulation r\u00e9gionale normothermique chez le donneur (perfusion des organes par un circuit extracorporel).<\/p>\n

La p\u00e9nuerie de greffons est une r\u00e9alit\u00e9. Comment l\u2019endiguer ?<\/strong>
\nDans un premier temps, je pense qu\u2019il y a un manque d\u2019information concernant le consentement pr\u00e9sum\u00e9 exprim\u00e9 dans\u00a0 la loi, qui nous d\u00e9finit tous comme donneurs, sauf si l\u2019on s\u2019inscrit sur le registre national de refus (RNR). Dans les faits, nous interrogeons \u00e9galement toujours la famille sur la volont\u00e9 du d\u00e9funt concernant le don et suivons cette d\u00e9cision. En France, les familles expriment un refus dans 30% des cas et je pense que l\u2019on pourra diminuer ce taux avec une information plus cibl\u00e9e. En parall\u00e8le\u00a0 nous travaillons pour am\u00e9liorer la qualit\u00e9 des greffons et ce de la p\u00e9riode de r\u00e9animation du donneur jusqu\u2019\u00e0 la mise sous machine \u00e0 perfuser des organes pr\u00e9lev\u00e9s. Cette ann\u00e9e nous recensons 20 donneurs pr\u00e9lev\u00e9s contre 30 \u00e0 la fin de 2015.<\/p>\n","protected":false},"excerpt":{"rendered":"

Arriv\u00e9 en 2013 en r\u00e9animation neuro-chirurgicale, le docteur Thierry B\u00e9nard encadre la coordination des pr\u00e9l\u00e8vements multi-organes et tissus du\u2026","protected":false},"author":1,"featured_media":13450,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[53,29,1],"tags":[],"class_list":["post-13449","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anesthesie","category-neurochirurgie","category-uncategorized"],"acf":[],"yoast_head":"\nQuestion \u00e0 Thierry B\u00e9nard, anesth\u00e9siste-r\u00e9animateur - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/question-a-thierry-benard-anesthesiste-reanimateur\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Question \u00e0 Thierry B\u00e9nard, anesth\u00e9siste-r\u00e9animateur - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Arriv\u00e9 en 2013 en r\u00e9animation neuro-chirurgicale, le docteur Thierry B\u00e9nard encadre la coordination des pr\u00e9l\u00e8vements multi-organes et tissus du CHU de Poitiers, en bin\u00f4me avec le docteur Thomas Kerforne. Avec la mise en place de la proc\u00e9dure Maastricht 3, cette ann\u00e9e, l\u2019\u00e9quipe de la coordination est en mesure de pr\u00e9lever des donneurs d\u00e9c\u00e9d\u00e9s suite \u00e0 un arr\u00eat des th\u00e9rapeutiques actives. 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