Donation After Circulatory Death: When Withdrawing Life-Sustaining Treatments Is Ethically Acceptable

Picozzi, Mario; Grossi, A.; Ferioli, Elena; Nicoli, Federico; Gasparetto, Alessandra

doi:10.1016/j.transproceed.2018.05.033

Cited by 3 publications

(3 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some examples are as follows: the compelling theme of the choice of patients to be treated, when the disproportion between needs and resources becomes unsustainable [22]; the ethical dilemmas regarding the withdrawal of life-sustaining treatments [23] (in some cases, the prolonging of a "biology" does not mean the prolonging of a "biography"); and the donation of organs for transplant, above all after circulatory death [24][25][26][27].…”

Section: Discussionmentioning

confidence: 99%

The need for clinical ethics consultation: a monocentric observational survey study in the intensive care unit (Consul.E.T.I. study)

Filippini

Nicoli

Picozzi

et al. 2022

J Anesth Analg Crit Care

View full text Add to dashboard Cite

Background The current organizational structure of the Italian healthcare system does not include the institutionalization of clinical ethics services. To describe the need for structured clinical ethics consultation services for ICU staff members in the intensive care unit (ICU), a monocentric observational survey study was performed utilizing a paper-based questionnaire. Results A total of 73 healthcare professionals (HCPs) responded out of a team of 84 people (87%). The results showed that the need for ethics consultation in the ICU is urgent, the institutionalization of the clinical ethics service is perceived as useful and should be a priority, and the issues on which the HCPs would like ethics consultation to focus are various and belong to “end of life” topics. Conclusions HCPs believe that the clinical ethicist should become an integral part of ICU healthcare teams, offering consultations similar to the other specialistic consultations carried out in hospitals.

show abstract

Section: Discussionmentioning

confidence: 99%

The need for clinical ethics consultation: a monocentric observational survey study in the intensive care unit (Consul.E.T.I. study)

Filippini

Nicoli

Picozzi

et al. 2022

J Anesth Analg Crit Care

View full text Add to dashboard Cite

show abstract

“…Proportionality is therefore regarded as the most suitable criterion, which should be used to guarantee treatments that respect both clinical indications and patients' preferences, consistent with the SDM model. 36,37 Based on these considerations, we define IC as "a relational process between physician and patient, where each of the actors has a say and which allows decisions to develop over time by jointly respecting clinical indications and individual patients' subjective considerations, values, needs, preferences, specific life circumstances and goals" (our definition). The process of IC for NSRDs is no exception.…”

Section: Conceptualizing Informed Consentmentioning

confidence: 99%

“…Proportionality is therefore regarded as the most suitable criterion, which should be used to guarantee treatments that respect both clinical indications and patients’ preferences, consistent with the SDM model. 36 , 37 …”

Section: Introductionmentioning

confidence: 99%

The 3-T Model of Informed Consent for Nonstandard Risk Donors: A Proposal for Transplant Clinical Practice

Grossi

Nicoli

Feo

et al. 2021

Transplantation Direct

View full text Add to dashboard Cite

Background. The risk of disease transmission from nonstandard risk donors (NSRDs) is low, and outcomes are similar or better relative to transplants performed with standard criteria donors. However, NSRDs have posed new ethical challenges to the informed consent (IC) process. Based on the shared decision-making model, coinciding with the 3 main timings of the IC process ([1] pretransplant assessments and waiting list registration, [2] time on the waiting list, and [3] time of the organ offer), we put forward a model (3-T Model) to summarize the knowledge on IC for NSRDs and to deliver conceptual and practical support to transplant providers on this emergent issue. Methods. We searched PubMed and analyzed data from our area to provide evidence and ethical arguments to promote standardization of the timing of patient information, degree of patient participation, and disclosure of donor risk factors throughout the 3 stages of the time continuum leading to the potential acceptance of NSRDs. Results. Each of the 3 timings carries special ethical significance and entails well-defined duties for transplant providers relative to patient involvement and information of the benefits and risks associated with NSRDs. Based on our framework, experience, and interpretation of the literature, we put forward a list of recommendations to combine standardization (ie, timing, content, and degree of patient participation) and individualization of IC. Conclusions. The 3-T Model may enable the prevention of physicians’ arbitrariness and the promotion of patient-centered care. Future studies will assess the effectiveness of the 3-T Model in transplant clinical practice.

show abstract

Social and ethical-moral considerations in cardiopulmonary death donation

Zambudio¹,

Balaguer²

2023

Transplantation Reports

View full text Add to dashboard Cite

Donation After Circulatory Death: When Withdrawing Life-Sustaining Treatments Is Ethically Acceptable

Cited by 3 publications

References 4 publications

The need for clinical ethics consultation: a monocentric observational survey study in the intensive care unit (Consul.E.T.I. study)

The need for clinical ethics consultation: a monocentric observational survey study in the intensive care unit (Consul.E.T.I. study)

The 3-T Model of Informed Consent for Nonstandard Risk Donors: A Proposal for Transplant Clinical Practice

Social and ethical-moral considerations in cardiopulmonary death donation

Contact Info

Product

Resources

About