Circulatory death determination in uncontrolled organ donors: a panel viewpoint.
Identifieur interne : 003917 ( Main/Exploration ); précédent : 003916; suivant : 003918Circulatory death determination in uncontrolled organ donors: a panel viewpoint.
Auteurs : James L. Bernat [États-Unis] ; Thomas P. Bleck [États-Unis] ; Sandralee A. Blosser [États-Unis] ; Susan L. Bratton [États-Unis] ; Alexander M. Capron [États-Unis] ; Danielle Cornell [États-Unis] ; Michael A. Devita [États-Unis] ; Gerard J. Fulda [États-Unis] ; Alexandra K. Glazier [États-Unis] ; Cynthia J. Gries [États-Unis] ; Mudit Mathur [États-Unis] ; Thomas A. Nakagawa [États-Unis] ; Sam D. Shemie [Canada]Source :
- Annals of emergency medicine [ 1097-6760 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- MESH :
- geographic : United States.
- methods : Tissue and Organ Procurement.
- standards : Tissue and Organ Procurement.
- Advisory Committees, Blood Circulation, Brain Death, Cardiopulmonary Resuscitation, Clinical Protocols, Death, Humans, Tissue Donors.
Abstract
One barrier for implementing programs of uncontrolled organ donation after the circulatory determination of death is the lack of consensus on the precise moment of death. Our panel was convened to study this question after we performed a similar analysis on the moment of death in controlled organ donation after the circulatory determination of death. We concluded that death could be determined by showing the permanent or irreversible cessation of circulation and respiration. Circulatory irreversibility may be presumed when optimal cardiopulmonary resuscitation efforts have failed to restore circulation and at least a 7-minute period has elapsed thereafter during which autoresuscitation to restored circulation could occur. We advise against the use of postmortem organ support technologies that reestablish circulation of warm oxygenated blood because of their risk of retroactively invalidating the required conditions on which death was declared.
DOI: 10.1016/j.annemergmed.2013.05.018
PubMed: 23796628
Affiliations:
- Canada, États-Unis
- Californie, Caroline du Nord, Delaware, Floride, Illinois, Massachusetts, New Hampshire, Pennsylvanie, Québec, Utah, État de New York
- Montréal
- Université McGill
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Bernat</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, NH. Electronic address: bernat@dartmouth.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Hampshire</region></placeName><wicri:cityArea>Department of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon</wicri:cityArea></affiliation></author><author><name sortKey="Bleck, Thomas P" sort="Bleck, Thomas P" uniqKey="Bleck T" first="Thomas P" last="Bleck">Thomas P. 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Capron</name><affiliation wicri:level="2"><nlm:affiliation>Gould School of Law and Keck School of Medicine, the University of Southern California, Los Angeles, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Gould School of Law and Keck School of Medicine, the University of Southern California, Los Angeles</wicri:cityArea></affiliation></author><author><name sortKey="Cornell, Danielle" sort="Cornell, Danielle" uniqKey="Cornell D" first="Danielle" last="Cornell">Danielle Cornell</name><affiliation wicri:level="2"><nlm:affiliation>LifeQuest Organ Recovery Services, Gainesville, FL.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>LifeQuest Organ Recovery Services, Gainesville</wicri:cityArea></affiliation></author><author><name sortKey="Devita, Michael A" sort="Devita, Michael A" uniqKey="Devita M" first="Michael A" last="Devita">Michael A. Devita</name><affiliation wicri:level="2"><nlm:affiliation>Department of Critical Care, Harlem Hospital, New York, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Critical Care, Harlem Hospital, New York</wicri:cityArea></affiliation></author><author><name sortKey="Fulda, Gerard J" sort="Fulda, Gerard J" uniqKey="Fulda G" first="Gerard J" last="Fulda">Gerard J. Fulda</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Intensive Care, Christiana Health Care System, Newark, DE.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Delaware</region></placeName><wicri:cityArea>Department of Surgical Intensive Care, Christiana Health Care System, Newark</wicri:cityArea></affiliation></author><author><name sortKey="Glazier, Alexandra K" sort="Glazier, Alexandra K" uniqKey="Glazier A" first="Alexandra K" last="Glazier">Alexandra K. Glazier</name><affiliation wicri:level="2"><nlm:affiliation>New England Organ Bank, Boston, MA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>New England Organ Bank, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Gries, Cynthia J" sort="Gries, Cynthia J" uniqKey="Gries C" first="Cynthia J" last="Gries">Cynthia J. Gries</name><affiliation wicri:level="2"><nlm:affiliation>Departments of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Departments of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Mathur, Mudit" sort="Mathur, Mudit" uniqKey="Mathur M" first="Mudit" last="Mathur">Mudit Mathur</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pediatric Critical Care, Loma Linda University Children's Hospital, Loma Linda, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Pediatric Critical Care, Loma Linda University Children's Hospital, Loma Linda</wicri:cityArea></affiliation></author><author><name sortKey="Nakagawa, Thomas A" sort="Nakagawa, Thomas A" uniqKey="Nakagawa T" first="Thomas A" last="Nakagawa">Thomas A. Nakagawa</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pediatric Critical Care, Wake Forest Baptist Health, Winston-Salem, NC.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Department of Pediatric Critical Care, Wake Forest Baptist Health, Winston-Salem</wicri:cityArea></affiliation></author><author><name sortKey="Shemie, Sam D" sort="Shemie, Sam D" uniqKey="Shemie S" first="Sam D" last="Shemie">Sam D. Shemie</name><affiliation wicri:level="4"><nlm:affiliation>Department of Pediatric Critical Care, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Pediatric Critical Care, Montreal Children's Hospital, McGill University, Montreal, Quebec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author></analytic><series><title level="j">Annals of emergency medicine</title><idno type="eISSN">1097-6760</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Advisory Committees</term><term>Blood Circulation</term><term>Brain Death</term><term>Cardiopulmonary Resuscitation</term><term>Clinical Protocols</term><term>Death</term><term>Humans</term><term>Tissue Donors</term><term>Tissue and Organ Procurement (methods)</term><term>Tissue and Organ Procurement (standards)</term><term>United States</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acquisition d'organes et de tissus ()</term><term>Acquisition d'organes et de tissus (normes)</term><term>Circulation sanguine</term><term>Comités consultatifs</term><term>Donneurs de tissus</term><term>Humains</term><term>Mort</term><term>Mort cérébrale</term><term>Protocoles cliniques</term><term>Réanimation cardiopulmonaire</term><term>États-Unis d'Amérique</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Tissue and Organ Procurement</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Acquisition d'organes et de tissus</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Tissue and Organ Procurement</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Advisory Committees</term><term>Blood Circulation</term><term>Brain Death</term><term>Cardiopulmonary Resuscitation</term><term>Clinical Protocols</term><term>Death</term><term>Humans</term><term>Tissue Donors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acquisition d'organes et de tissus</term><term>Circulation sanguine</term><term>Comités consultatifs</term><term>Donneurs de tissus</term><term>Humains</term><term>Mort</term><term>Mort cérébrale</term><term>Protocoles cliniques</term><term>Réanimation cardiopulmonaire</term><term>États-Unis d'Amérique</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">One barrier for implementing programs of uncontrolled organ donation after the circulatory determination of death is the lack of consensus on the precise moment of death. Our panel was convened to study this question after we performed a similar analysis on the moment of death in controlled organ donation after the circulatory determination of death. We concluded that death could be determined by showing the permanent or irreversible cessation of circulation and respiration. Circulatory irreversibility may be presumed when optimal cardiopulmonary resuscitation efforts have failed to restore circulation and at least a 7-minute period has elapsed thereafter during which autoresuscitation to restored circulation could occur. We advise against the use of postmortem organ support technologies that reestablish circulation of warm oxygenated blood because of their risk of retroactively invalidating the required conditions on which death was declared.</div></front></TEI><affiliations><list><country><li>Canada</li><li>États-Unis</li></country><region><li>Californie</li><li>Caroline du Nord</li><li>Delaware</li><li>Floride</li><li>Illinois</li><li>Massachusetts</li><li>New Hampshire</li><li>Pennsylvanie</li><li>Québec</li><li>Utah</li><li>État de New York</li></region><settlement><li>Montréal</li></settlement><orgName><li>Université McGill</li></orgName></list><tree><country name="États-Unis"><region name="New Hampshire"><name sortKey="Bernat, James L" sort="Bernat, James L" uniqKey="Bernat J" first="James L" last="Bernat">James L. Bernat</name></region><name sortKey="Bleck, Thomas P" sort="Bleck, Thomas P" uniqKey="Bleck T" first="Thomas P" last="Bleck">Thomas P. Bleck</name><name sortKey="Blosser, Sandralee A" sort="Blosser, Sandralee A" uniqKey="Blosser S" first="Sandralee A" last="Blosser">Sandralee A. Blosser</name><name sortKey="Bratton, Susan L" sort="Bratton, Susan L" uniqKey="Bratton S" first="Susan L" last="Bratton">Susan L. Bratton</name><name sortKey="Capron, Alexander M" sort="Capron, Alexander M" uniqKey="Capron A" first="Alexander M" last="Capron">Alexander M. Capron</name><name sortKey="Cornell, Danielle" sort="Cornell, Danielle" uniqKey="Cornell D" first="Danielle" last="Cornell">Danielle Cornell</name><name sortKey="Devita, Michael A" sort="Devita, Michael A" uniqKey="Devita M" first="Michael A" last="Devita">Michael A. Devita</name><name sortKey="Fulda, Gerard J" sort="Fulda, Gerard J" uniqKey="Fulda G" first="Gerard J" last="Fulda">Gerard J. Fulda</name><name sortKey="Glazier, Alexandra K" sort="Glazier, Alexandra K" uniqKey="Glazier A" first="Alexandra K" last="Glazier">Alexandra K. Glazier</name><name sortKey="Gries, Cynthia J" sort="Gries, Cynthia J" uniqKey="Gries C" first="Cynthia J" last="Gries">Cynthia J. Gries</name><name sortKey="Mathur, Mudit" sort="Mathur, Mudit" uniqKey="Mathur M" first="Mudit" last="Mathur">Mudit Mathur</name><name sortKey="Nakagawa, Thomas A" sort="Nakagawa, Thomas A" uniqKey="Nakagawa T" first="Thomas A" last="Nakagawa">Thomas A. Nakagawa</name></country><country name="Canada"><region name="Québec"><name sortKey="Shemie, Sam D" sort="Shemie, Sam D" uniqKey="Shemie S" first="Sam D" last="Shemie">Sam D. Shemie</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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