Expanding controlled donation after the circulatory determination of death: stronger emphasis on different cultural, religious and legal backgrounds is needed

Müller, Thomas; Brodie, Daniel; Lorusso, Roberto; MacLaren, Graeme; Ichiba, Shingo

doi:10.1007/s00134-021-06405-2

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…However, within this over-simplified (dis)agreement lies a nuanced web of uncertainties. We will focus on arguments discussing a 'not sure' position regarding intensive care unit (ICU) admission finalised to organ donationa stance that demands a careful consideration of factors contributing to its complexity [1]. We will concentrate on one scenario of organ donation; patients where brain death has not yet been determined but curative treatment is considered non-beneficial and who are thus solely admitted to the ICU for the aim to facilitate potential organ donation, also called 'non-therapeutic intensive care' [2].…”

Section: Setting the Scenementioning

confidence: 99%

Intensive Care admission aiming at organ donation. Not sure

Seidlein,

Latour,

Benbenishty

2024

Intensive Care Med

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Section: Setting the Scenementioning

confidence: 99%

Intensive Care admission aiming at organ donation. Not sure

Seidlein,

Latour,

Benbenishty

2024

Intensive Care Med

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Social and ethical-moral considerations in cardiopulmonary death donation

Zambudio¹,

Balaguer²

2023

Transplantation Reports

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Ethical Issues in Normothermic Regional Perfusion in Controlled Organ Donation After Determination of Death by Circulatory Criteria: A Scoping Review

Murphy,

Slessarev,

Basmaji

et al. 2024

Transplantation

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Normothermic regional perfusion (NRP) is a surgical technique that can improve the quality and number of organs recovered for donation after the determination of death by circulatory criteria. Despite its promise, adoption of NRP has been hindered because of unresolved ethical issues. To inform stakeholders, this scoping review provides an impartial overview of the major ethical controversies surrounding NRP. We undertook this review according to a modified 5-step methodology proposed by Arksey and O’Malley. Publications were retrieved through MEDLINE and Embase. Gray literature was sourced from Canadian organ donation organizations, English-language organ donation organization websites, and through our research networks. Three reviewers independently screened all documents for inclusion, extracted data, and participated in content analysis. Disagreements were resolved through consensus meetings. Seventy-one documents substantively engaging with ethical issues in NRP were included for full-text analysis. We identified 6 major themes encompassing a range of overlapping ethical debates: (1) the compatibility of NRP with the dead donor rule, the injunction that organ recovery cannot cause death, (2) the risk of donor harm posed by NRP, (3) uncertainties regarding consent requirements for NRP, (4) risks to stakeholder trust posed by NRP, (5) the implications of NRP for justice, and (6) NRP’s potential to benefits of NRP for stakeholders. We found no agreement on the ethical permissibility of NRP. However, some debates may be resolved through additional empirical study. As decision-makers contemplate the adoption of NRP, it is critical to address the ethical issues facing the technique to ensure stakeholder trust in deceased donation and transplantation systems is preserved.

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Expanding controlled donation after the circulatory determination of death: stronger emphasis on different cultural, religious and legal backgrounds is needed

Abstract: Full author information is available at the end of the article the utility of a corpse, even where it would be in the interest of helping others, yet potentially ignoring the dignity of dying, may not be shared by all cultures.

Cited by 3 publications

References 3 publications

Intensive Care admission aiming at organ donation. Not sure

Intensive Care admission aiming at organ donation. Not sure

Social and ethical-moral considerations in cardiopulmonary death donation

Ethical Issues in Normothermic Regional Perfusion in Controlled Organ Donation After Determination of Death by Circulatory Criteria: A Scoping Review

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