Uncontrolled non-heart beating donation: Need, opportunity and challenge Donación en asistolia no controlada: necesidad, oportunidad y reto
نویسندگان
چکیده
The Third Global Consultation of the World Health Organization (WHO) on donation and transplants was held in Madrid (Spain) in March 2010.1 Through the Madrid Resolution, representatives of 70 countries from all over the world called for progress toward self-sufficiency in transplantation. Selfsufficiency is seen as a necessity not only to reduce mortality on the waiting list, but also to control ethically unacceptable practices such as trafficking in organs and transplant tourism.2 With almost 90 transplant procedures per million of population (pmp) in the year 2011, Spain is in a privileged position for achieving self-sufficiency, setting the bases for a roadmap that includes donation as an integral part of the end-of-life setting in all possible death circumstances.3 Brain dead donors (BDD) are the most frequent source of organs for transplantation: approximately 90% of all donors in Spain are people in whom death has been diagnosed according to neurological criteria.4 The donation levels reached in our country, fundamented upon BDD, come close to excellence--though this does not mean that there is no room for improvement.5,6 Nevertheless, BDD as an option is becoming exhausted both quantitatively and qualitatively. Continued auditing in the critical care units of hospitals authorized for organ donation in Spain reflects a dramatic decrease in the potential for donation in BDD, from 65 donors pmp in 2001 to 49 donors pmp in 2010.7
منابع مشابه
First Do No Harm in End-of-Life Care: A Comment on the 2015 American Heart Association Guidelines for Post-Resuscitation Care of Cardiopulmonary Arrest
Dear Editor: The American Heart Association published guidelines on neuro-prognostication strategies and treatment withdrawal after successful cardiopulmonary resuscitation. Instead of providing guidance on optimizing the quality of end-of-life care, the authors concluded with a Class I (strong) recommendation that ‘‘all patients who are resuscitated from cardiac arrest but who subsequently pro...
متن کاملUncontrolled non-heart beating donation: need, opportunity and challenge.
The Third Global Consultation of the World Health Organization (WHO) on donation and transplants was held in Madrid (Spain) in March 2010.1 Through the Madrid Resolution, representatives of 70 countries from all over the world called for progress toward self-sufficiency in transplantation. Selfsufficiency is seen as a necessity not only to reduce mortality on the waiting list, but also to contr...
متن کاملThe Donation after Circulatory Death Donor can be a Source of Organs for Cardiac Transplantation
The number of heart transplants performed worldwide is declining annually [1-3]. The conventional source of donor hearts, the brainstem dead cadaveric heart-beating donor. is decreasing. Advances in neurosurgical treatment of patients with severe head injury and intracranial haemorrhage (ICH) mean that the increase in intracranial pressure (ICH) which previously precipitated ischemic brain-stem...
متن کاملHeparin does not improve graft function in uncontrolled non-heart-beating lung donation: an experimental study in pigs.
OBJECTIVES Non-heart-beating donation (NHBD) has the potential to increase the number of patients treated with lung transplantation. Our study investigated, in a simulated clinical situation in the uncontrolled NHBD setting, whether or not heparin administration after death affects the donor lung function. METHODS Twelve Swedish domestic pigs underwent ventricular fibrillation and were left u...
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تاریخ انتشار 2017