Cardio-pulmonary resuscitation of brain-dead organ donors: a literature review and suggestions for practice.

Détails

ID Serval
serval:BIB_82FC232D0531
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Cardio-pulmonary resuscitation of brain-dead organ donors: a literature review and suggestions for practice.
Périodique
Transplant International
Auteur⸱e⸱s
Dalle Ave A.L., Gardiner D., Shaw D.M.
ISSN
1432-2277 (Electronic)
ISSN-L
0934-0874
Statut éditorial
Publié
Date de publication
2016
Peer-reviewed
Oui
Volume
29
Numéro
1
Pages
12-19
Langue
anglais
Résumé
"Organ preserving cardiopulmonary resuscitation (OP-CPR)" is defined as the use of CPR in cases of cardiac arrest to preserve organs for transplantation, rather than to revive the patient. Is it ethical to provide OP-CPR in a brain-dead organ donor to save organs that would otherwise be lost? To answer this question, we review the literature on brain-dead organ donors, conduct an ethical analysis, and make recommendations. We conclude that OP-CPR can benefit patients and families by fulfilling the wish to donate. However, it is an aggressive procedure that can cause physical damage to patients, and risks psychological harm to families and healthcare professionals. In a brain-dead organ donor, OP-CPR is acceptable without specific informed consent to OP-CPR, although advance discussion with next of kin regarding this possibility is strongly advised. In a patient where brain death is yet to be determined, but there is known wish for organ donation, OP-CPR would only be acceptable with a specific informed consent from the next of kin. When futility of treatment has not been established or it is as yet unknown if the patient wished to be an organ donor then OP-CPR should be prohibited, in order to avoid any conflict of interest.
Pubmed
Web of science
Création de la notice
02/02/2016 17:35
Dernière modification de la notice
20/09/2019 5:26
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