What is the immediate management goal for a brain-dead near-drowning victim whose parents wish to donate organs?

For a brain-dead near-drowning victim whose parents wish to donate organs, maintaining SaO2 above 95% is crucial. This helps ensure that the organs are well-perfused and oxygenated, which is critical for preserving their viability for transplantation. Adequate oxygenation is a key aspect of organ preservation, and by maintaining good oxygen saturation levels, the likelihood of successful organ function post-transplant is significantly increased.

The focus on oxygenation is essential, especially in the context of warming the body and managing hemodynamics to support organ function until donation occurs. This immediate management goal aligns with the critical requirement to maintain organ health leading up to the donation process, addressing the physiological needs of the organs that will be recovered.

Other management goals may also be important, but maintaining adequate oxygen saturation directly impacts organ quality for transplantation.