University Clinic Frankfurt am Main: Practical guidance for decision-making in adult patients with severe brain injury, expected brain death, and wish for organ donation

被引：0

作者：

Mersmann, J. ^{[1
]}

Sauer, T. ^{[2
,3
]}

Weiske, K. ^{[2
,3
]}

Wolf-Braun, B. ^{[2
,3
]}

机构：

[1] Univ Klinikum Frankfurt Main, Klin Anasthesiol Intens Med & Schmerztherapie, Theodor Stern Kai 7, D-60590 Frankfurt, Germany

[2] Univ Klinikum Frankfurt Main, Mitglied Klin Eth Kom, Frankfurt, Germany

[3] Univ Klinikum Frankfurt Main, Dr Senckenberg Inst Geschichte & Eth Med, Frankfurt, Germany

来源：

ANASTHESIOLOGIE & INTENSIVMEDIZIN | 2018年 / 59卷

关键词：

Organ Donation; Organ Protective Therapy; Brain Death; Irreversible Functional Brain Failure;

D O I：

10.19224/ai2018.90

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

End-of-life decisions are based upon prognosis and the patient's (supposed) choice. German law (3rd Amendment to the Federal Guardianship Law; also "Advance Directives Act", 2009) allows for withdrawal of therapy in cases of poor prognosis or unacceptable prognosis in view of the patient's life values. Advance directives, however, can be contrary to a concurrent wish for post mortem organ donation. Legal directives for weighing the two contrary positions (withdrawal of life-sustaining therapy vs. organ-sustaining therapy in preparation for organ donation) are lacking. To avoid unintended risks for the patient such as a prolongation of the dying process, but also to facilitate a patient's wish for organ donation, the Clinical Ethics Committee at Goethe University, Frankfurt, has developed a guideline to support physicians in the decision process.

引用

页码：90 / 98

页数：9