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Tele-ICU enabled management of an organ donor in an under-resourced setting
  1. Prudhvi Dasari1,
  2. Maheeja Reddy1,
  3. Dileep Singh Parmar2 and
  4. Carl Britto3
  1. 1 Cloudphysician Healthcare Pvt Ltd, Bengaluru, India
  2. 2 Aastha Health Care, Gandhinagar, Gujarat, India
  3. 3 Division of Critical CareDepartment of Anaesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Boston, USA
  1. Correspondence to Dr Carl Britto; carl.britto{at}cloudphysician.net

Abstract

A man in his 30s was involved in a road traffic crash in a small town in India, not equipped to deal with cases of brainstem death. He was declared brain-dead after a few hours. The patient’s information was forwarded to organ specialists across the country, with the goal of preserving the patient’s organs for donation via a tele-ICU model. The team comprising bedside doctors and remote intensivists communicating via an indigenously developed tele-ICU platform managed the patient for 24 hours, following treatment protocols and providing critical care to ensure that the patient’s vital organs were optimally perfused. The following morning, specialist teams from a nearby city arrived at the local hospital to retrieve the patient’s organs. This fast-tracked organ retrieval and transplant process were made possible through advances in technology and the involvement of specialists from other parts of the country through this tele-ICU model.

  • Adult intensive care
  • Mechanical ventilation

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: PD, DSP and CB. The following authors gave final approval of the manuscript: PD, DSP and CB.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests Prudhvi Dasari and Maheeja Reddy are employees of Cloudphysician Pvt India Ltd that owns the intellectual property to RADAR, the tele-ICU platform used for patient care in this case report. The authors hold no formal affiliation to Cloudphysician Pvt India Ltd.

  • Provenance and peer review Not commissioned; externally peer reviewed.