Controlled Donation After Circulatory Determination of Death
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 4118066
Author(s) Dalle Ave, Anne L.; Shaw, David M.
Author(s) at UniBasel Shaw, David
Year 2017
Title Controlled Donation After Circulatory Determination of Death
Journal Journal of Intensive Care Medicine
Volume 32
Number 3
Pages / Article-Number 179-186
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.
Publisher Sage Publications
ISSN/ISBN 0885-0666 ; 1525-1489
Full Text on edoc No
Digital Object Identifier DOI 10.1177/0885066615625628
PubMed ID

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