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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Le document en format XML
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<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>
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