Authors
Bernat, James L.D'Alessandro, Anthony M.
Port, Friedrich K.
Bleck, Thomas P.
Heard, Stephen O.
Medina, Justine
Rosenbaum, Stanley H.
Devita, Michael A.
Gaston, Robert S.
Merion, Robert M.
Barr, Mark L.
Marks, William H.
Nathan, Howard
O'Connor, Kevin
Rudow, Dianne LaPointe
Leichtman, Alan B.
Schwab, Paul
Ascher, Nancy L.
Metzger, Robert A.
McBride, Virginia
Graham, Walter
Wagner, Dennis
Warren, James
Delmonico, Francis L.
Document Type
Journal ArticlePublication Date
2006-02-01
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Show full item recordAbstract
A national conference on organ donation after cardiac death (DCD) was convened to expand the practice of DCD in the continuum of quality end-of-life care. This national conference affirmed the ethical propriety of DCD as not violating the dead donor rule. Further, by new developments not previously reported, the conference resolved controversy regarding the period of circulatory cessation that determines death and allows administration of pre-recovery pharmacologic agents, it established conditions of DCD eligibility, it presented current data regarding the successful transplantation of organs from DCD, it proposed a new framework of data reporting regarding ischemic events, it made specific recommendations to agencies and organizations to remove barriers to DCD, it brought guidance regarding organ allocation and the process of informed consent and it set an action plan to address media issues. When a consensual decision is made to withdraw life support by the attending physician and patient or by the attending physician and a family member or surrogate (particularly in an intensive care unit), a routine opportunity for DCD should be available to honor the deceased donor's wishes in every donor service area (DSA) of the United States.Source
Bernat JL, D'Alessandro AM, Port FK, Bleck TP, Heard SO, Medina J, Rosenbaum SH, Devita MA, Gaston RS, Merion RM, Barr ML, Marks WH, Nathan H, O'connor K, Rudow DL, Leichtman AB, Schwab P, Ascher NL, Metzger RA, Mc Bride V, Graham W, Wagner D, Warren J, Delmonico FL. Report of a National Conference on Donation after cardiac death. Am J Transplant. 2006 Feb;6(2):281-91. doi: 10.1111/j.1600-6143.2005.01194.x. PMID: 16426312.DOI
10.1111/j.1600-6143.2005.01194.xPermanent Link to this Item
http://hdl.handle.net/20.500.14038/25787PubMed ID
16426312Related Resources
Link to Article in PubMedRights
Copyright 2006 The Authors. Under a Creative Commons license, Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)Distribution License
https://creativecommons.org/licenses/by-nc-nd/4.0/ae974a485f413a2113503eed53cd6c53
10.1111/j.1600-6143.2005.01194.x
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