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Published in: Intensive Care Medicine 2/2016

01-02-2016 | What's New in Intensive Care

Ten changes that could improve organ donation in the intensive care unit

Authors: Beatriz Domínguez-Gil, Paul Murphy, Francesco Procaccio

Published in: Intensive Care Medicine | Issue 2/2016

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Excerpt

In March 2010, the Third WHO Global Consultation on Organ Donation and Transplantation (‘The Madrid Resolution’) called on countries to pursue self-sufficiency in transplantation in compliance with the WHO Guiding Principles on Human Cell, Tissue and Organ Transplantation [1]. This included a call to maximize donation by incorporating it in all appropriate end-of-life care pathways. This recommendation is consistent with the progressively more accepted principle that end-of-life care decision making should be based upon an assessment of best interests that extends beyond a patient’s physical needs, to encompass broader ethical, social, moral and welfare issues, including wishes towards donation [2, 3]. …
Literature
1.
go back to reference The Madrid Resolution on organ donation and transplantation: national responsibility in meeting the needs of patients, guided by the WHO principles. Transplantation 91(Suppl 11):S29–31 The Madrid Resolution on organ donation and transplantation: national responsibility in meeting the needs of patients, guided by the WHO principles. Transplantation 91(Suppl 11):S29–31
5.
go back to reference Domínguez-Gil B, Delmonico FL, Shaheen FA, Matesanz R, O’Connor K, Minina M et al (2011) The critical pathway for deceased donation: reportable uniformity in the approach to deceased donation. Transpl Int 24(4):373–378CrossRefPubMed Domínguez-Gil B, Delmonico FL, Shaheen FA, Matesanz R, O’Connor K, Minina M et al (2011) The critical pathway for deceased donation: reportable uniformity in the approach to deceased donation. Transpl Int 24(4):373–378CrossRefPubMed
6.
go back to reference Shafer TJ, Wagner D, Chessare J, Schall MW, McBride V, Zampiello FA et al (2008) US organ donation breakthrough collaborative increases organ donation. Crit Care Nurs Q 31(3):190–210CrossRefPubMed Shafer TJ, Wagner D, Chessare J, Schall MW, McBride V, Zampiello FA et al (2008) US organ donation breakthrough collaborative increases organ donation. Crit Care Nurs Q 31(3):190–210CrossRefPubMed
8.
go back to reference Matesanz R, Coll E, Domínguez-Gil B, de la Rosa G, Marazuela R, Arráez V et al (2012) Benchmarking in the process of donation after brain death: a methodology to identify best performer hospitals. Am J Transpl 12(9):2498–2506CrossRef Matesanz R, Coll E, Domínguez-Gil B, de la Rosa G, Marazuela R, Arráez V et al (2012) Benchmarking in the process of donation after brain death: a methodology to identify best performer hospitals. Am J Transpl 12(9):2498–2506CrossRef
10.
go back to reference de la Rosa G, Domínguez-Gil B, Matesanz R, Ramón S, Alonso-Álvarez J, Araiz J et al (2012) Continuously evaluating performance in deceased donation: the Spanish quality assurance program. Am J Transpl 12(9):2507–2513CrossRef de la Rosa G, Domínguez-Gil B, Matesanz R, Ramón S, Alonso-Álvarez J, Araiz J et al (2012) Continuously evaluating performance in deceased donation: the Spanish quality assurance program. Am J Transpl 12(9):2507–2513CrossRef
12.
go back to reference Malinoski DJ, Patel MS, Daly MC, Oley-Graybill MC, Salim A, UNOS Region 5 DMC workgroup (2012) The impact of meeting donor management goals on the number of organs transplanted per donor: results from the United Network for Organ Sharing region 5 prospective donor management goals study. Crit Care Med 40:2773–2780CrossRefPubMed Malinoski DJ, Patel MS, Daly MC, Oley-Graybill MC, Salim A, UNOS Region 5 DMC workgroup (2012) The impact of meeting donor management goals on the number of organs transplanted per donor: results from the United Network for Organ Sharing region 5 prospective donor management goals study. Crit Care Med 40:2773–2780CrossRefPubMed
14.
go back to reference Matesanz R, Domínguez-Gil B, Coll E, de la Rosa G, Marazuela R (2011) Spanish experience as a leading country: what kind of measures were taken? Transpl Int 24(4):333–343CrossRefPubMed Matesanz R, Domínguez-Gil B, Coll E, de la Rosa G, Marazuela R (2011) Spanish experience as a leading country: what kind of measures were taken? Transpl Int 24(4):333–343CrossRefPubMed
15.
go back to reference Thomas I, Caborn S, Manara AR (2008) Experiences in the development of non-heart beating organ donation scheme in a regional neurosciences intensive care unit. Br J Anaesth 100(6):820–826CrossRefPubMed Thomas I, Caborn S, Manara AR (2008) Experiences in the development of non-heart beating organ donation scheme in a regional neurosciences intensive care unit. Br J Anaesth 100(6):820–826CrossRefPubMed
16.
go back to reference Sprung CL, Cohen SL, Sjokvist P, Baras M, Bulow HH, Hovilehto S et al (2003) End-of-life practices in European intensive care units: the ethicus study. JAMA 290(6):790–797CrossRefPubMed Sprung CL, Cohen SL, Sjokvist P, Baras M, Bulow HH, Hovilehto S et al (2003) End-of-life practices in European intensive care units: the ethicus study. JAMA 290(6):790–797CrossRefPubMed
17.
go back to reference De Groot YJ, Jansen NE, Bakker J, Kuiper MA, Aerdts S, Maas AI et al (2010) Imminent brain death: point of departure for potential heart-beating organ donor recognition. Intensive Care Med 36:1488–1494PubMedCentralCrossRefPubMed De Groot YJ, Jansen NE, Bakker J, Kuiper MA, Aerdts S, Maas AI et al (2010) Imminent brain death: point of departure for potential heart-beating organ donor recognition. Intensive Care Med 36:1488–1494PubMedCentralCrossRefPubMed
Metadata
Title
Ten changes that could improve organ donation in the intensive care unit
Authors
Beatriz Domínguez-Gil
Paul Murphy
Francesco Procaccio
Publication date
01-02-2016
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 2/2016
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-015-3833-y

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