Donation After Circulatory Death: Burying the Dead Donor Rule

American Journal of Bioethics 11 (8):36-43 (2011)
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Abstract

Despite continuing controversies regarding the vital status of both brain-dead donors and individuals who undergo donation after circulatory death (DCD), respecting the dead donor rule (DDR) remains the standard moral framework for organ procurement. The DDR increases organ supply without jeopardizing trust in transplantation systems, reassuring society that donors will not experience harm during organ procurement. While the assumption that individuals cannot be harmed once they are dead is reasonable in the case of brain-dead protocols, we argue that the DDR is not an acceptable strategy to protect donors from harm in DCD protocols. We propose a threefold alternative to justify organ procurement practices: (1) ensuring that donors are sufficiently protected from harm; (2) ensuring that they are respected through informed consent; and (3) ensuring that society is fully informed of the inherently debatable nature of any criterion to declare death

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Author Profiles

David Rodríguez
Colegio Mayor de Nuestra Señora del Rosario
Neil Lazar
University of Toronto
Maxwell Smith
University of Western Ontario

References found in this work

Are DCD Donors Dead?Don Marquis - 2010 - Hastings Center Report 40 (3):24-31.
The Dead Donor Rule.John A. Robertson - 1999 - Hastings Center Report 29 (6):6.
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.
Brain Death - Too Flawed to Endure, Too Ingrained to Abandon.Robert D. Truog - 2007 - Journal of Law, Medicine and Ethics 35 (2):273-281.

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