Case of Anthony Thomas ‘TJ’ Hoover II is under investigation by state and federal government officials
A man who had gone into cardiac arrest and been declared brain dead woke up as surgeons in his home state of Kentucky were in the middle of harvesting his organs for donation, his family has told media outlets.
As reported Thursday by both National Public Radio and the Kentucky news station WKYT, the case of Anthony Thomas “TJ” Hoover II is under investigation by state and federal government officials. Officials within the US’s organ-procurement system insist there are safeguards in place to prevent such episodes, though his family told the outlets their experience highlights a need for at least some reform.
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WKYT reported that Rhorer only learned the full details of her brother’s surgery at the hands of Baptist and the Kentucky Organ Donor Affiliates (Koda) in January. That’s when a former employee of Koda contacted her before sending a letter to a congressional committee that in September held a hearing scrutinizing organ-procurement organizations, NPR reported.
The letter’s author said she saw Hoover begin “thrashing” around on the operating table as well as start “crying visibly”, according to NPR.
No idea. I’ve only done a few of these, and again they’re absolute madness. I’m a surgical tech, so getting the sterile field and instruments set up is my first responsibility; then it’s getting those instruments into the hands of the surgeons so they’re not wasting ANY time; then it’s packing up the mess afterward. In slower cases I can kinda check out what the anesthesia folks are doing, and sometimes even help out with super basic shit like holding an O2 mask on the patient’s face before they’re intubated to free up their hands for actual patient care, but that’s all extra, time-permitting stuff that isn’t a normal part of my job.
For organ harvests specifically, I don’t even recall if an anesthesiologist or CRNA was present or not - these cases require 100% of my focus to stay honed in on my own job, otherwise I’ll fall behind, which slows the surgeons down, which compromises the organs being harvested and used.
It makes intuitive sense to give a little sedation to prevent the scenario from the article, but I could see that being problematic for a harvest: sedation or general anesthesia are systemic, so any of that they administer is going to make its way into the organs being harvested. Whether or not that’s an issue for those organs or the next patient receiving them… no idea. Could actually be beneficial and already standard practice. Or anywhere in between. That’d be a question for an organ harvest doc - it’s over my head.