Normothermic Regional Perfusion (NRP) in DCD Recovery - Study Guide (2026 Edition)
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description: This CPTC study guide is designed to help you master one of the fastest-evolving areas of DCD organ recovery: Normothermic Regional Perfusion (NRP). In the world of the CPTC exam, NRP is not simply a new recovery technology—it is a complex coordination process involving warm ischemic time, death declaration, cerebral isolation, organ assessment, OR logistics, allocation, and ethical safeguards. CPTC Smart Study Guide: Normothermic Regional Perfusion (NRP) in DCD Recovery NRP is not specifically named in the published CPTC exam outline, but it falls directly within Section 4: Allocation and Recovery, where candidates are expected to understand DCD recovery, preservation strategies, OR coordination, organ assessment, and warm-ischemia considerations. This guide gives you the clinical, operational, ethical, and regulatory knowledge needed to understand how NRP fits into modern organ procurement practice. Why This Guide is Different The CPTC exam does not reward memorizing technology names without understanding the process. It tests whether you can protect the donor, preserve ethical boundaries, coordinate multiple teams, document critical events, and recognize when a recovery plan must be paused. 2026 Safety Ready: Covers current HRSA and AOPO safety guidance, including independent death declaration, the commonly used five-minute observation period, cerebral-isolation safeguards, and documentation of cephalad vessel transection and venting. Clinical Sophistication: Understand how NRP restores warm, oxygenated circulation to selected organs after death while preventing cerebral reperfusion. Learn the differences between abdominal NRP, thoracoabdominal NRP, standard super-rapid recovery, and ex vivo machine perfusion. The “Exam Lens”: We do not just explain the procedure. We provide exam-focused insights that help you identify unsafe answers and common traps, such as beginning perfusion before cerebral isolation is verified, allowing OPO staff to participate in death dec…
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