ITNS Insider
Feb. 27, 2014

One last journey for organ donors speeds transplants
If Dr. Majella Doyle is your surgeon, it means that something very bad or very good has just happened to you. Doyle is a liver transplant specialist. For years that meant she had her bag packed, ready to fly or drive to wherever an organ donor lay on life support. That could easily mean eight hours of travel. And that was just the start. But Doyle doesn't travel much now. Instead, organ donors come to her.More

Transplant Nurses Day Essay Contest
2014 Theme — My Transplant Nurse: A Perfect Match
The Transplant Nurses Day Essay Contest allows patients to nominate an ITNS transplant nurse who has made a difference in their lives. The winning essay will be featured in a future issue of the ITNS Insider. In addition, the nurse will receive a recognition award, a letter sent to his or her supervisor, and acknowledgement on the ITNS website and in an ITNS E-Updates membership e-mail.

Who can enter?
Any transplant patient currently or formerly under the care of an ITNS-member transplant nurse can participate. Ask your nurse or transplant coordinator if he or she is a member of ITNS.

How do I enter?
Submit an entry form and a 300-500 word essay focusing on "My Transplant Nurse: A Perfect Match" by the Friday, March 14 deadline to

Nursing Success TV
Whether you're at home or on the go, you can tune into Nursing Success TV, proudly brought to you by the ITNS Career Center. Featuring nurse-to-nurse insights to help you succeed, this month's show includes:

Available for free 24/7, Nursing Success TV requires no registration and is viewable from any computer or mobile device. More

Renal cooling beneficial in robotic kidney transplants
By Trina McMillin
Surgeons in India and Detroit recently collaborated to perform kidney transplants on 50 patients using a new technique that involves using a robot to assist with the procedure and cooling the organ throughout the procedure using sterile ice. Mani Menon, M.D., the chair of Henry Ford's Vattikuti Urology Institute in Detroit and the co-author of this study, stated that a minimally-invasive surgery decreases the patient's pain during recovery. He said it also minimizes complications when compared to conventional surgery.More

Time periods affected value of liver transplantation for patients with resectable HCC
The benefits of liver transplantation in patients with hepatocellular carcinoma were better than hepatic resection during a 10-year scenario compared with five years, according to an analysis evaluating both procedures in a recent study. In a multinational study of 1,028 cirrhotic patients with hepatocellular carcinoma from one surgical unit in China and two in Italy, researchers calculated a number-needed-to-transplant. None of the patients had multinodular tumors or those larger than 10 cm, and Child-Turcotte-Pugh only included class A cirrhotic patients.More

New clues found to preventing lung transplant rejection
Medical Xpress
Organ transplant patients routinely receive drugs that stop their immune systems from attacking newly implanted hearts, livers, kidneys or lungs, which the body sees as foreign. But new research at Washington University School of Medicine in St. Louis suggests that broadly dampening the immune response, long considered crucial to transplant success, may encourage lung transplant rejection.More

Peritransplant absolute lymphocyte count as a predictive factor for advanced recurrence of hepatitis C after liver transplantation
Lymphocytes play an active role in natural immunity against hepatitis C virus. Authors hypothesized that a lower absolute lymphocyte count may alter HCV outcome after liver transplantation. The aim of this study was to investigate the impact of peritransplant ALC on HCV recurrence following LT. A total of 289 LT patients between 2005 and 2011 were evaluated. Peritransplant ALC (pre-LT, two-week, and one-month post-LT) and immunosuppression were analyzed along with recipient and donor factors in order to determine risk factors for HCV recurrence based on METAVIR fibrosis score. More

A multicenter study of primary graft failure after infant heart transplantation: Impact of extracorporeal membrane oxygenation on outcomes
Pediatric Transplantation
Primary graft failure is the major cause of mortality in infant HTx. The aim of this study was to characterize the indication and outcomes of infants requiring ECMO support due to primary graft failure after HTx. Authors performed a retrospective review of all infants who underwent Htx from three institutions.More