title: Ethical issues in non-heart-beating donation.
abstract: A shortage of organ donors and the large number of patients desperately waiting for kidney transplant have led to the search for new sources of transplantable organs. The waiting list has grown at an alarming rate resulting in increased waiting times and deaths. The introduction of non heart beating (NHB) donation programmes generates a lot of ethical issues. How should death of a patient be defined in the case of NHB donation? Is there a strict separation of responsibilities of the medical teams in the different phases of the procedure (patient treatment and actual donation)? How should consent be obtained? Is sufficient respect and care given to the patient and his family? How is the viability of the organs assessed and how should the organs be allocated? We believe that it is very important to debate these issues and to try to outline an ethical framework for NHB donation that can enjoy the widest possible community support.
authors.forename: Vassilios
authors.initials: V
authors.lastname: Papalois
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Vlachos
authors.forename: Alexander
authors.initials: A
authors.lastname: Barlas
authors.forename: Zaki Anas
authors.initials: ZA
authors.lastname: Zarka
authors.forename: Adil
authors.initials: A
authors.lastname: El-Tayar
authors.forename: Nadey S
authors.initials: NS
authors.lastname: Hakim
mesh_terms: D003643:Death; D006323:Heart Arrest; D006801:Humans; D040841:Resource Allocation / Q000941:ethics; D020458:Third-Party Consent; D020858:Tissue and Organ Harvesting / Q000941:ethics / Q000592:standards; D009927:Tissue and Organ Procurement / Q000941:ethics*