An analysis of heart donation after circulatory determination of death

Dalle Ave, Anne and Shaw, David and Bernat, James. (2016) An analysis of heart donation after circulatory determination of death. Journal of Medical Ethics. pp. 312-317.

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Background Heart donation after circulatory determination of death (DCDD) has provoked ethical debate focused primarily on whether heart DCDD donors are dead when death is declared and when organs are procured.
Objective and design We rigorously analyse whether four heart DCDD programmes (Cape Town, Denver, Australia, Cambridge) respect the dead donor rule (DDR), according to six criteria of death: irreversible cessation of all bodily cells function (or organs), irreversible cessation of heart function, irreversible cessation of circulation, permanent cessation of circulation, irreversible cessation of brain function and permanent cessation of brain function.
Conclusions Only death criteria based on permanency are compatible with the DDR under two conditions: (1) a minimum stand-off period of 5 min to ensure that autoresuscitation is impossible and that all brain functions have been lost and (2) no medical intervention is undertaken that might resume bodily or brain circulation. By our analysis, only the Australia heart DCDD programme using a stand-off period of 5 min respects the DDR when the criteria of death are based on permanency.
Faculties and Departments:08 Cross-disciplinary Subjects > Ethik > Institut für Bio- und Medizinethik > Bio- und Medizinethik (Elger)
03 Faculty of Medicine > Departement Public Health > Ethik in der Medizin > Bio- und Medizinethik (Elger)
UniBasel Contributors:Shaw, David
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:BMJ Publishing Group
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:27 Oct 2017 14:52
Deposited On:27 Oct 2017 14:52

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