Cardio-Pulmonary Resuscitation of Brain-Dead Organ Donors: a Literature Review and Suggestions for Practice
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 3401527
Author(s) Dalle Ave, Anne; Gardiner, Dale; Shaw, David
Author(s) at UniBasel Shaw, David
Year 2016
Title Cardio-Pulmonary Resuscitation of Brain-Dead Organ Donors: a Literature Review and Suggestions for Practice
Journal Transplant International
Volume 29
Number 1
Pages / Article-Number 12-9
Abstract 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.
Publisher Wiley
ISSN/ISBN 0934-0874 ; 1432-2277
edoc-URL http://edoc.unibas.ch/41699/
Full Text on edoc No
Digital Object Identifier DOI 10.1111/tri.12623
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/26073934
ISI-Number 000367726200002
Document type (ISI) Journal Article, Review
 
   

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