Intensive care for organ preservation: A four-stage pathway
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 4524546
Author(s) Gardiner, Dale; Shaw, David M.; Kilcullen, Jack K.; Dalle Ave, Anne L.
Author(s) at UniBasel Shaw, David
Year 2019
Title Intensive care for organ preservation: A four-stage pathway
Journal Journal of the Intensive Care Society
Volume 20
Number 4
Pages / Article-Number 335-340
Keywords Transplantation; brain death; ethics; intensive care; organ donation; organ preservation
Abstract Intensive care for organ preservation (ICOP) is defined as the initiation or pursuit of intensive care not to save the patient's life, but to protect and optimize organs for transplantation.; When a patient has devastating brain injury that might progress to organ donation this can be conceptualized as evolving through four consecutive stages: (1) instability, (2) stability, (3) futility and (4) finality. ICOP might be applied at any of these stages, raising different ethical issues. Only in the stage of; finality; is the switch from neurointensive care to ICOP ethically justified.; The difference between the stages is that during instability, stability and futility the focus must be neurointensive care which seeks the patient's recovery or an accurate neurological prognostication, while finality focuses on withdrawal of life-sustaining therapy and commencement of comfort care, which may include ICOP for deceased donation.
Publisher SAGE
ISSN/ISBN 1751-1437
Full Text on edoc No
Digital Object Identifier DOI 10.1177/1751143719840254
PubMed ID
ISI-Number MEDLINE:31695738
Document type (ISI) Journal Article

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