Abstract
Programmes for Uncontrolled donation after Circulatory Death: Clinical, Ethical and Legal Benchmarks
Highlights
Donation after circulatory determination of death (DCDD) is a form of organ donation that takes place after the cessation of circulatory function
Protocols for uncontrolled donation after cardiac death, in which candidates has suffered an unexpected or sudden cardiac arrest, have generated both promise and concern. These protocols potentially increase organ donation rates by making potential donors certain individuals who suffer an out-of-hospital cardiac arrest (OHCA). They raise a number of ethical concerns regarding on several points that has been identified by scholars and emergency health care providers: [1] lack of truthfulness and transparency on the information approach to the of kin of potential donors, and [2] the possibility that organ donation could compromise treatment delivered to, at least, some patients profile
From this moment nothing more is done to save the life of the patient, only to preserve the organs. This situation corresponds to category II of the Maastricht classification, that is to say, they are termed uncontrolled donation as the exact Warm Ischaemic Time (WIT) is not known because the event which triggered the OHCA was sudden and unexpected
Summary
Donation after circulatory determination of death (DCDD) is a form of organ donation that takes place after the cessation of circulatory function. Protocols for uncontrolled donation after cardiac death, in which candidates has suffered an unexpected or sudden cardiac arrest, have generated both promise and concern. On one hand, these protocols potentially increase organ donation rates by making potential donors certain individuals who suffer an out-of-hospital cardiac arrest (OHCA). They raise a number of ethical concerns regarding on several points that has been identified by scholars and emergency health care providers: [1] lack of truthfulness and transparency on the information approach to the of kin of potential donors, and [2] the possibility that organ donation could compromise treatment delivered to, at least, some patients profile. By elucidating ethical concerns with existing protocols, it is the goal to affect positive policy change in the current ones and others that will likely be developed worldwide
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