Pro/con debate: in patients who are potential candidates for organ donation after cardiac death, starting medications and/or interventions for the sole purpose of making the organs more viable is an acceptable practice.
Several hospitals have been developing programmes for organ donation after cardiac death. Such programmes offer options for organ donation to patients who do not meet brain-death criteria but wish to donate their organs after withdrawal of life-support. These programmes also increase the available organ pool at a time when demand exceeds supply. Given that potential donors are managed in intensive care units, intensivists will be key components of these programmes. Donation after cardiac death clearly carries a number of important ethical issues with it. In the present issue of Critical Care two established groups debate the ethical acceptability of using medications/interventions in potential organ donors for the sole purpose of making the organs more viable. Such debates will be an increasingly common component of intensivists' future practice.
Phua
Jason
J
Division of Respiratory and Critical Care Medicine, Department of Medicine, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074, Singapore. phua_jason@yahoo.com.sg
Lim
Tow Keang
TK
Zygun
David A
DA
Doig
Christopher J
CJ
D001926:Brain Death / Q000175:diagnosis*; D003643:Death; D006801:Humans; D016414:Resuscitation Orders / Q000941:ethics*; D014021:Tissue Preservation / Q000941:ethics* / Q000379:methods*; D009927:Tissue and Organ Procurement / Q000941:ethics* / Q000379:methods*; D019737:Transplants / Q000941:ethics*