Controlled non-heart beating organ donation: neither the whole solution nor a step too far

Anaesthesia
P MurphyM Smith

Abstract

While many intensive care clinicians in the UK continue to express significant concerns regarding controlled non-heart beating organ donation, others are involved in established programmes that make an increasingly significant contribution to the total number of cadaveric donations each year. The successful introduction of a controlled non-heart beating organ donation programme requires local resolution of any apparent ethicolegal obstacles to the process, with specific attention needing to be given to three areas: the potential conflict of interest between decision making over futility and any subsequent approach regarding organ donation; a belief that it may be unlawful to adjust in any way an end of life care pathway in order to allow donation to take place, and, finally, an uncertainty over how soon after cardiac death organ retrieval can begin. It is proposed that recent changes in legislation provide, through an emphasis on patient autonomy and best interests, a solid ethicolegal foundation for donation after cardiac death.

References

May 19, 2001·Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]·M A DeVita
Sep 8, 2001·Critical Care Medicine·UNKNOWN Ethics Committee, American College of Critical Care Medicine, UNKNOWN Society of Critical Care Medicine
Jul 26, 2002·The New England Journal of Medicine·Markus WeberPierre-Alain Clavien
Nov 29, 2002·The New England Journal of Medicine·Ana Cristina Carvalho de MatosAlvaro Pacheco-Silva
Dec 14, 2004·British Journal of Anaesthesia·M D D Bell
Apr 26, 2005·Transplantation Proceedings·M SqueS Payne
Sep 27, 2005·British Journal of Anaesthesia·S RidleyUNKNOWN Intensive Care Society's Working Group on Organ and Tissue Donation
Apr 24, 2007·Anaesthesia·D Gardiner, B Riley
Jul 21, 2007·British Journal of Hospital Medicine·Paul G Murphy

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Citations

Aug 20, 2008·British Journal of Anaesthesia·P J Shirley
Sep 26, 2008·Nursing in Critical Care·Kathy Dalley
Oct 27, 2015·Transplant International : Official Journal of the European Society for Organ Transplantation·Paul MurphyWim de Jongh

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