The circulatory–respiratory determination of death in organ donation*

@article{Bernat2010TheCD,
  title={The circulatory–respiratory determination of death in organ donation*},
  author={James L. Bernat and Alexander M Capron and Thomas P Bleck and Sandralee A. Blosser and Susan L Bratton and James F. Childress and Michael A. Devita and Gerard J. Fulda and Cynthia J. Gries and Mudit Mathur and Thomas A. Nakagawa and Cynda H. Rushton and Sam D. Shemie and Douglas B 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… 

An analysis of heart donation after circulatory determination of death

Only the Australia heart DCDD programme using a stand-off period of 5 min respects the dead donor rule (DDR) when the criteria of death are based on permanency.

Circulatory death determination in uncontrolled organ donors: a panel viewpoint.

Conceptual Issues in DCDD Donor Death Determination.

  • J. Bernat
  • Medicine
    The Hastings Center report
  • 2018
Making two related distinctions clarifies the cause of the disagreement over whether the DCDD donor is dead and points to a possible resolution.

The Debate over Death Determination in DCD

  • J. Bernat
  • Medicine
    The Hastings Center report
  • 2010
This issue, Don Marquis concludes that DCD donors are indeed not dead at the moment of donation because the cessation of their cardiac function is not irreversible, and DCD survives Marquis's criticisms.

Heart donation without the dead donor rule.

  • F. Miller
  • Medicine
    The Annals of thoracic surgery
  • 2014

Ethical Controversies in Organ Donation After Circulatory Death

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.

Determination of death in donation after circulatory death: an ethical propriety

The Papworth technique for heart DCD does not compromise the permanence standard for declaring death and therefore respects the dead donor rule in the UK, but perhaps elsewhere the law would need to change to refer to the cessation of circulation in the brain.

Expanding controlled donation after the circulatory determination of death: statement from an international collaborative

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.

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 preclude

Seeking to reconcile end-of-life organ procurement for transplantation with the uniform determination of death act.

Bernat et al (1) reassure the general public that procuring organs in nonheartbeating donation is after death by novel reinterpretation of uniform determination of death act statutory language, and redefine the understanding of “permanence” and “irreversibility".
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