Ethical issues in organ transplantation

被引:0
作者
Modra, Lucy [1 ]
Hilton, Andrew [1 ,2 ]
机构
[1] Austin Hosp, Melbourne, Vic, Australia
[2] Univ Melbourne, Melbourne, Vic, Australia
关键词
Death; ethics; organ donation; transplantation; CARDIOPULMONARY-RESUSCITATION; UNCONTROLLED DONATION; DEATH;
D O I
暂无
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Critical care clinicians are central to the organ transplantation process and therefore should be aware of the myriad ethical issues it raises. Organ donation can transform the lives of transplant recipients. How-ever, it also warrants particular ethical scrutiny. Organ procurement is a procedure that cannot physically benefit the patient upon whom it is performed. Moreover, the potential donor incapacitated by terminal illness is usually unable to actively consent to donation. This article re-views contemporary debates in vital organ transplantation, including the definition of death, perimortem interventions and research, and merits of 'opt-in' versus 'opt-out' donor registries.
引用
收藏
页码:467 / 470
页数:4
相关论文
共 12 条
[1]   Extracorporeal membrane oxygenation (ECMO) assisted cardiopulmonary resuscitation or uncontrolled donation after the circulatory determination of death following out-of-hospital refractory cardiac arrest-An ethical analysis of an unresolved clinical dilemma [J].
Ave, Anne L. Dalle ;
Shaw, David M. ;
Gardiner, Dale .
RESUSCITATION, 2016, 108 :87-94
[3]   Are Transplant Recipients Human Subjects When Research Is Conducted on Organ Donors? [J].
Heffernan, Kate Gallin ;
Glazier, Alexandra K. .
HASTINGS CENTER REPORT, 2017, 47 (05) :10-14
[4]   Ethical Challenges and the Donation Physician Specialist: A Scoping Review [J].
MacDonald, Shavaun I. ;
Shemie, Sam D. .
TRANSPLANTATION, 2017, 101 (05) :S27-S40
[5]   What follows refractory cardiac arrest: Death, extra-corporeal cardiopulmonary resuscitation (E-CPR), or uncontrolled donation after circulatory death? [J].
Manara, Alexander R. ;
Dominguez-Gil, Beatriz ;
Miguel Perez-Villares, Jose ;
Soar, Jasmeet .
RESUSCITATION, 2016, 108 :A3-A5
[6]   Hypothalamic-Pituitary Function in Brain Death: A Review [J].
Nair-Collins, Michael ;
Northrup, Jesse ;
Olcese, James .
JOURNAL OF INTENSIVE CARE MEDICINE, 2016, 31 (01) :41-50
[7]   Taking Science Seriously in the Debate on Death and Organ Transplantation [J].
Nair-Collins, Michael .
HASTINGS CENTER REPORT, 2015, 45 (06) :38-48
[8]  
National Academies of Sciences Engineering and Medicine, OPPORTUNITIES ORGAN
[9]   Family Over Rules? An Ethical Analysis of Allowing Families to Overrule Donation Intentions [J].
Shaw, David ;
Georgieva, Denie ;
Haase, Bernadette ;
Gardiner, Dale ;
Lewis, Penney ;
Jansen, Nichon ;
Wind, Tineke ;
Samuel, Undine ;
McDonald, Maryon ;
Ploeg, Rutger .
TRANSPLANTATION, 2017, 101 (03) :482-487
[10]   THE CONSEQUENCES OF VAGUENESS IN CONSENT TO ORGAN DONATION [J].
Shaw, David M. .
BIOETHICS, 2017, 31 (06) :424-431