Controlled Donation After Circulatory Determination of Death.

Details

Serval ID
serval:BIB_5B33D551BA6C
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Controlled Donation After Circulatory Determination of Death.
Journal
Journal of intensive care medicine
Author(s)
Dalle Ave A.L., Shaw D.M.
ISSN
1525-1489 (Electronic)
ISSN-L
0885-0666
Publication state
Published
Issued date
03/2017
Peer-reviewed
Oui
Volume
32
Number
3
Pages
179-186
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Controlled donation after circulatory determination of death (cDCDD) concerns donation after withdrawal of life-sustaining therapy (W-LST). We examine the ethical issues raised by W-LST in the cDCDD context in the light of a review of cDCDD protocols and the ethical literature. Our analysis confirms that W-LST procedures vary considerably among cDCDD centers and that despite existing recommendations, the conflict of interest in the W-LST decision and process might be difficult to avoid, the process of W-LST might interfere with usual end-of-life care, and there is a risk of hastening death. In order to ensure that the practice of W-LST meets already well-established ethical recommendations, we suggest that W-LST should be managed in the ICU by an ICU physician who has been part of the W-LST decision. Recommending extubation for W-LST, when this is not necessarily the preferred procedure, is inconsistent with the recommendation to follow usual W-LST protocol. As the risk of conflicts of interest in the decision of W-LST and in the process of W-LST exists, this should be acknowledged and disclosed. Finally, when cDCDD programs interfere with W-LST and end-of-life care, this should be transparently disclosed to the family, and specific informed consent is necessary.

Pubmed
Create date
04/03/2016 18:28
Last modification date
20/09/2019 5:26
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