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

The immediate management goal for a brain-dead near-drowning victim whose parents wish to donate organs is to maintain a SaO2 (arterial oxygen saturation) above 95%. This is crucial because organ viability for transplantation is highly dependent on the quality of the oxygenation the organs receive. Ensuring sufficient oxygenation helps preserve the functions of the organs, thereby making them more suitable for donation.

In this context, a high level of oxygenation reduces the risk of ischemia (lack of blood flow) and potential irreversible damage to the organs. When approaching organ donation, the healthcare team focuses on optimizing the donor's physiological status to maximize the chances of successful transplantation.

While hyperventilation can temporarily lower intracranial pressure, maintaining proper oxygen saturation takes priority because it supports organ viability, a vital aspect of successful organ donation. Other options like managing PaCO2 or administering medications like indomethacin are pertinent in different contexts, but they do not directly address the urgent need for adequate oxygenation in a potential organ donor.