Posts Tagged ‘donation after cardiac death’

July 9, 2012

The Case for Kidney Donation Before End-of-Life Care


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This article, and the 6 open peer commentaries that accompany it, discusses whether ante mortem donation of kidneys is ethically feasible in those patients in whom a decision has been made to discontinue life sustaining therapy. The authors argue that this strategy is ethically equivalent to donation after cardiac death, since the ante mortem removal […]

No Comments Posted in Renal Transplantation
April 14, 2012

The dead donor rule and means-end reasoning–a reply to Gardiner and Sparrow


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Gardiner and Sparrow argued in a 2010 article that the pre-mortem procedures as typically used in donation after cardiac death (DCD) protocols violate a proper understanding of the dead donor rule (DDR). Napier argues that whether or not particular pre-mortem interventions violate this condition of respect for the donor will depend on whether they are […]

No Comments Posted in Cardiac Transplantation, Intestinal Transplantation, Liver Transplantation, Lung Transplantation, Pancreas Transplantation, Renal Transplantation
December 19, 2011

Superior Preservation of DCD Livers With Continuous Normothermic Perfusion


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Donation after cardiac death (DCD) liver transplantation has grown because of the discrepancy between the number of patients on the transplant waiting list and the number of available organs. Unfortunately, numerous studies have demonstrated increased biliary complications and lower graft survival with DCD liver transplants. Multiple groups are looking at the use of machine perfusion […]

No Comments Posted in Liver Transplantation
November 18, 2011

Is It Time to Extend Liver Acceptance Criteria for Controlled Donors After Cardiac Death?


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Donation after cardiac death (DCD) liver transplantation is a rapidly growing source of organs. However the outcomes have been shown to be inferior compared to donation after brain death grafts. Selection of DCD recipients is crucial in order to obtain good outcomes. In this article the authors describe results using carefully selected donors beyond the […]

No Comments Posted in Liver Transplantation
August 14, 2011

Hearts From DCD Donors Display Acceptable Biventricular Function After Heart Transplantation in Pigs


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Utilization of organs from donation after cardiac death (DCD) donors has increased over the past several years, with a significant impact on the numbers of transplants performed, particularly in liver and kidney transplantation.  Lung transplantation is on the rise as well, however DCD cardiac transplantation to date has not been validated as a viable option.  […]

No Comments Posted in Cardiac Transplantation
August 14, 2011

Derivation of the Uncontrolled Donation after Circulatory Determination of Death Protocol for New York City.


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This article and its accompanying editorial examine the UDCDD protocol in New York City, in which people who die from cardiac arrest out of hospital can be used as organ donors.  The article explains how the protocol was developed, and the involvement of government officials, content experts (including ethicists) and the public in the process. […]

No Comments Posted in Cardiac Transplantation, Liver Transplantation, Lung Transplantation, Renal Transplantation