An analysis of heart donation after circulatory determination of death
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 3693547
Author(s) Dalle Ave, Anne; Shaw, David; Bernat, James
Author(s) at UniBasel Shaw, David
Year 2016
Title An analysis of heart donation after circulatory determination of death
Journal Journal of Medical Ethics
Volume 42
Number 5
Pages / Article-Number 312-317
Abstract Background Heart donation after circulatory determination of death (DCDD) has provoked ethical debate focused primarily on whether heart DCDD donors are dead when death is declared and when organs are procured. Objective and design We rigorously analyse whether four heart DCDD programmes (Cape Town, Denver, Australia, Cambridge) respect the dead donor rule (DDR), according to six criteria of death: irreversible cessation of all bodily cells function (or organs), irreversible cessation of heart function, irreversible cessation of circulation, permanent cessation of circulation, irreversible cessation of brain function and permanent cessation of brain function. Conclusions Only death criteria based on permanency are compatible with the DDR under two conditions: (1) a minimum stand-off period of 5 min to ensure that autoresuscitation is impossible and that all brain functions have been lost and (2) no medical intervention is undertaken that might resume bodily or brain circulation. By our analysis, only the Australia heart DCDD programme using a stand-off period of 5 min respects the DDR when the criteria of death are based on permanency.
Publisher BMJ Publishing Group
ISSN/ISBN 0306-6800 ; 1473-4257
Full Text on edoc No
Digital Object Identifier DOI 10.1136/medethics-2015-103224
ISI-Number WOS:000375093300012
Document type (ISI) Article

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