|
Table 1: Schedule of actions carried out. |
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|
Day |
Time |
Event |
|
0 |
16:00 |
The Emergency Department reports to the hospital donation coordinator about a 23-year-old male patient with severe cranioencephalic trauma secondary to a car accident 24 hours before his admission; he is found with clinically absent stem reflexes and a cerebral angio-CT scan showing an absence of flow. In a committee session, it was determined that the two kidneys and the liver would be transferred to Mexico City due to the absence of conditions to perform the transplants in the generating hospital |
|
0 |
17:00 |
With the support of the Epidemiology Service and the central laboratory of the generating hospital, a COVID-19 oral-nasopharyngeal RT-PCR test was performed |
|
0 |
19:00 |
A chest CT scan showed a left pneumothorax, a pleural bypass tube, and bilateral pulmonary contusion areas without data suggestive of SARS-CoV-2 infection |
|
1 |
05:00 |
The result of the COVID-19 test by RT-PCR was negative |
|
1 |
10:00 |
Proceedings before the Public Prosecutor’s Office are initiated |
|
1 |
17:00 |
TIME OUT: multi-organ procurement surgery by the generating hospital’s transplant surgical team to avoid inter-state equipment transfer |
|
1 |
19:00 |
Clamping |
|
1 |
20:00 |
Transfer of the organs from Merida to Mexico City by plane |
|
2 |
03:00 |
Hepatic depinning |
|
2 |
06:00 |
Successful completion of liver transplantation |
|
4 |
10:00 |
Successful transplantation of both kidneys during the morning of day four (with pulsatile hypothermic perfusion support from the arrival of kidneys on day one; > 72 h of ischemia) |
|
RT-PCR = reverse transcriptase polymerase chain reaction. CT = computerized tomography. |
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