Donation After Cardiac Death Organ Procurement and Transplantation

2014 ◽  
pp. 25-36
Author(s):  
David J. Reich
Keyword(s):  
Cardiac Death ◽  
Organ Procurement ◽  
Donation After Cardiac Death

Imminent Death Donation: Ethical and Practical Policy Considerations

2018 ◽  
Vol 46 (2) ◽  
pp. 524-537 ◽  
Author(s):  
Jordan Potter
Keyword(s):  
Organ Donation ◽  
Cardiac Death ◽  
Organ Procurement ◽  
Donation After Cardiac Death ◽  
Live Organ Donation ◽  
Life Sustaining Treatment ◽  
Imminent Death

While the practice of organ donation after cardiac death has long been trending upwards in acceptance and use, it is still a highly controversial and practically inefficient method of organ procurement. One policy that has recently been proposed to try and alleviate some of the ethical and practical concerns with organ donation after cardiac death is the practice of imminent death organ donation. This type of live organ donation comes in patients at the end of their life who have decided to withdraw life-sustaining treatment, but still want to ensure that their organs are donated and not wasted, which isn't always the case with organ donation after cardiac death. This paper then gives some ethical and practical reflections and recommendations regarding the potential implementation of this controversial practice into regular transplant practice and policy.

scholarly journals ASTS Recommended Practice Guidelines for Controlled Donation after Cardiac Death Organ Procurement and Transplantation

2009 ◽  
Vol 9 (9) ◽  
pp. 2004-2011 ◽  
Author(s):  
D. J. Reich ◽  
D. C. Mulligan ◽  
P. L. Abt ◽  
T. L. Pruett ◽  
M. M. I. Abecassis ◽  
...  
Keyword(s):  
Practice Guidelines ◽  
Cardiac Death ◽  
Organ Procurement ◽  
Donation After Cardiac Death

Attaining Specific Donor Management Goals Increases Number of Organs Transplanted per Donor: A Quality Improvement Project

2009 ◽  
Vol 19 (3) ◽  
pp. 227-231 ◽  
Author(s):  
Michael E. Hagan ◽  
Daniel McClean ◽  
Cassandra A. Falcone ◽  
Jeffrey Arrington ◽  
Donna Matthews ◽  
...  
Keyword(s):  
Cardiac Death ◽  
Organ Procurement ◽  
Donation After Cardiac Death ◽  
Donor Management ◽  
Improvement Project ◽  
Organ Procurement Organizations ◽  
Expanded Criteria ◽  
Region 10 ◽  
Based Medicine ◽  
United Network

Most organ procurement organization professionals and transplant surgeons intuitively know that meeting donor management goals improves organ allocation and transplant outcomes. In this era of evidence-based medicine, it is important to know whether the data support this assumption. All 6 organ procurement organizations in the United Network for Organ Sharing's region 10 agreed on 6 specific donor management goals. The organ procurement organizations then compared the number of organs transplanted per donor when goals were met with the number when goals were not met. Results were broken down by donor type: standard-criteria donation, expanded-criteria donation, and donation after cardiac death. For all 6 organ procurement organizations combined, the data for all of 2008 show a substantial and statistically significant improvement in number of organs transplanted per donor for standard criteria donation and total donors when goals are met, with a smaller degree of improvement (although not statistically significant) in the number of organs transplanted per donor for expanded-criteria donation and donation after cardiac death when goals are met.

Perioperative nurses’ experiences of caring for donation after cardiac death organ donors and their family within the operating room

2019 ◽  
Vol 30 (3) ◽  
pp. 69-78
Author(s):  
Zaneta Smith
Keyword(s):  
Grounded Theory ◽  
Operating Room ◽  
Cardiac Death ◽  
Organ Procurement ◽  
Donation After Cardiac Death ◽  
Organ Donors ◽  
Limited Information ◽  
Perioperative Nurses ◽  
Grounded Theory Method ◽  
Study Participants

Background Worldwide, operating rooms have seen the re-emergence of donation after cardiac death organ donors to increase the number of available organs. There is limited information on the issues perioperative nurses encounter when caring for donor patients after cardiac death who proceed to organ procurement surgery. Objectives The purpose of this paper is to report a subset of findings derived from a larger study highlighting the difficulties experienced by perioperative nurses when encountering donation after cardiac death organ donors and their family within the operating room during organ procurement surgery from an Australian perspective. Methods A qualitative grounded theory method was used to explore perioperative nurses’ (n = 35) experiences of participating in multi-organ procurement surgery. Results This paper reports a subset of findings of the perioperative nurses’ experiences directly related to donation after cardiac death procedures drawn from a larger grounded theory study. Participants revealed four aspects conceptualised as: ‘witnessing the death of the donation after cardiac death donor’; ‘exposure to family’; ‘witnessing family grief’ and ‘stepping into the family’s role by default’. Conclusion Perioperative nurses’ experiences with donation after cardiac death procedures are complex, challenging and demanding. Targeted support, education and training will enhance the perioperative nurses’ capabilities and experiences of caring for the donation after cardiac death donor and their family with the operating room context.

Organ Donation after Cardiac Death in the Pediatric Patient

2018 ◽  
Author(s):  
Caitlin D. Sutton ◽  
David G. Mann
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Organ Transplantation ◽  
Pediatric Patient ◽  
Cardiac Death ◽  
Organ Procurement ◽  
Deceased Donor ◽  
Donation After Cardiac Death ◽  
Donor Organ ◽  
Donor After Brain Death

The need for organ transplantation is ever increasing. Currently there are 115,000 people on the waitlist and the number is still growing. Organs that are transplanted may be obtained via a living or deceased donor. The organs may be obtained from a deceased donor after either brain death or after cardiac death. The majority of deceased donor organ transplants occur via deceased donor after brain death; however, deceased donor after cardiac death organ donation is increasing. This concept of organ transplantation can be quite difficult to discuss with families, therefore, the anesthesiologist and the entire care team must be knowledgeable and respectful regarding the patient’s and families wishes. The team should also be familiar with the overall process and organ procurement protocols of the institution. By having respectful, thoughtful, early discussions regarding the potential for organ donation, families will be able to make better informed decisions.

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