The circulatory–respiratory determination of death in organ donation*

@article{Bernat2010TheCD,
  title={The circulatory–respiratory determination of death in organ donation*},
  author={J. Bernat and A. Capron and T. Bleck and S. Blosser and S. Bratton and J. Childress and M. Devita and G. Fulda and C. Gries and M. Mathur and T. Nakagawa and C. Rushton and S. Shemie and D. White},
  journal={Critical Care Medicine},
  year={2010},
  volume={38},
  pages={963-970}
}
Objective:Death statutes permit physicians to declare death on the basis of irreversible cessation of circulatory–respiratory or brain functions. The growing practice of organ donation after circulatory determination of death now requires physicians to exercise greater specificity in circulatory–respiratory death determination. We studied circulatory–respiratory death determination to clarify its concept, practice, and application to innovative circulatory determination of death protocols… Expand
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  • Medicine
  • The Hastings Center report
  • 2018
TLDR
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  • Medicine
  • The Hastings Center report
  • 2010
TLDR
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  • Medicine
  • The Annals of thoracic surgery
  • 2014
TLDR
Protocols for donation after circulatory death (DCD) typically involve patients on mechanical ventilation with severe neurologic damage short of brain death, as in the case of Mr Sklavin. Expand
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TLDR
Control DCD involves organ recovery after the planned withdrawal of life-sustaining treatment and the declaration of death according to the cardiorespiratory criteria, and there are potential conflicts between the donor's and recipient’s interests. Expand
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Uncontrolled donation after circulatory death: ethics of implementation.
PURPOSE OF REVIEW Despite its potential to increase the donor pool, uncontrolled donation after circulatory death (uDCD) is available in a limited number of countries. Ethical concerns may precludeExpand
Expanding controlled donation after the circulatory determination of death: statement from an international collaborative
TLDR
The permanent cessation of circulation to the brain is established as the standard to determine death by circulatory criteria and the value of perfusion repair for increasing the success of cDCDD organ transplantation is highlighted. Expand
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References

SHOWING 1-10 OF 58 REFERENCES
Role of brain death and the dead-donor rule in the ethics of organ transplantation
TLDR
It is proposed that individuals who desire to donate their organs and who are either neurologically devastated or imminently dying should be allowed to donateTheir organs, without first being declared dead. Expand
Organ Donation after Circulatory Determination of Death: Lessons and Unresolved Controversies
The several articles in this special issue on organ donation after circulatory determination of death or, as it is often put, donation after cardiac death (DCD), draw lessons from different kinds ofExpand
The boundaries of organ donation after circulatory death.
  • J. Bernat
  • Medicine
  • The New England journal of medicine
  • 2008
TLDR
A video roundtable discussion addresses key ethical aspects of organ donation after cardiac death, and what duration of asystole proves irreversibility. Expand
Observations of withdrawal of life-sustaining treatment from patients who became non-heart-beating organ donors
TLDR
It is suggested that 2 mins of absent circulation is sufficient to certify death, suggesting that non-heart-beating organ donation is increasing despite the concern whether all the donors are dead. Expand
The death watch: certifying death using cardiac criteria.
  • M. Devita
  • Medicine
  • Progress in transplantation
  • 2001
TLDR
This article concludes with a rejection of a fixed notion of "irreversibility" because it does not conform to current practice, is potentially deleterious to social events at the time of death, and the reversibility of cardiopulmonary arrest is dependent on available means of resuscitation. Expand
Organ donation after cardiac death.
TLDR
A rapid increase in the rate of organ recovery from deceased persons has occurred in the category of donation after “cardiac death,” but these donations remain troubling to some and are not as widely accepted as donations after brain death. Expand
The dead donor rule.
TLDR
Proposals to permit donation from anencephalic infants or condemned prisoners aim to maintain respect for the core values underlying the dead donor rule while concluding that the benefits of relaxing the rule in these marginal cases outweigh the loss in respect for life and trust in the transplant system that might result. Expand
Non-Heart-Beating Organ Transplantation: Medical and Ethical Issues in Procurement
TLDR
This book examines transplantation supply and demand, historical and modern conceptions of non-heart-beating donors, and organ procurement organizations and transplant program policies, and contains recommendations concerning the principles and ethical issues surrounding the topic. Expand
Doubts about Death: The Silence of the Institute of Medicine
  • J. Menikoff
  • Medicine
  • The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics
  • 1998
TLDR
IOM’s recent report, in part outlining the conditions under which such a declaration of death can be made, is likely to be a major impetus for the growth of NHBD programs. Expand
Extracorporeal support for organ donation after cardiac death effectively expands the donor pool.
TLDR
The implementation of a DCD protocol using extracorporeal perfusion increased the potential organ donor pool at this institution by 33% and was accomplished without short term adverse effect on organ function compared with kidneys transplanted from DBD donors. Expand
...
1
2
3
4
5
...