The Case for Kidney Donation Before End-of-Life Care

American Journal of Bioethics 12 (6):1-8 (2012)
Abstract
Donation after cardiac death (DCD) is associated with many problems, including ischemic injury, high rates of delayed allograft function, and frequent organ discard. Furthermore, many potential DCD donors fail to progress to asystole in a manner that would enable safe organ transplantation and no organs are recovered. DCD protocols are based upon the principle that the donor must be declared dead prior to organ recovery. A new protocol is proposed whereby after a donor family agrees to withdrawal of life-sustaining treatments, premortem nephrectomy is performed in advance of end-of-life management. Since nephrectomy should not cause the donor's death, this approach satisfies the dead donor rule. The donor family's wishes are best met by organ donation, successful outcomes for the recipients, and a dignified death for the deceased. This proposal improves the likelihood of achieving these objectives
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DOI 10.1080/15265161.2012.671886
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References found in this work BETA
The Dead Donor Rule: Can It Withstand Critical Scrutiny?F. G. Miller, R. D. Truog & D. W. Brock - 2010 - Journal of Medicine and Philosophy 35 (3):299-312.
Abandon the Dead Donor Rule or Change the Definition of Death?Robert M. Veatch - 2004 - Kennedy Institute of Ethics Journal 14 (3):261-276.

View all 12 references / Add more references

Citations of this work BETA
How (Not) to Think of the ‘Dead-Donor’ Rule.Adam Omelianchuk - 2018 - Theoretical Medicine and Bioethics 39 (1):1-25.
The Problem With DCDD Is the Dead Donor Rule.Michael E. Shapiro & Frances Rieth Ward - 2015 - American Journal of Bioethics 15 (8):15-16.
Could Premortem Organ Retrieval Be Lawful?Norman L. Cantor - 2012 - American Journal of Bioethics 12 (6):12-13.

View all 8 citations / Add more citations

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The Dead Donor Rule: Can It Withstand Critical Scrutiny?F. G. Miller, R. D. Truog & D. W. Brock - 2010 - Journal of Medicine and Philosophy 35 (3):299-312.
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