[Intensive care to facilitate organ donation. ONT-SEMICYUC recommendations].
Cuidados intensivos orientados a la donación de órganos. Recomendaciones ONT-SEMICYUC.
Brain death
Donación de órganos
Muerte cerebral
Non-therapeutic elective ventilation
Organ donation
Transplantation
Trasplantes
Ventilación electiva no terapéutica
Journal
Medicina intensiva
ISSN: 2173-5727
Titre abrégé: Med Intensiva (Engl Ed)
Pays: Spain
ID NLM: 101717568
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
received:
30
07
2019
revised:
20
09
2019
accepted:
28
09
2019
pubmed:
20
11
2019
medline:
20
11
2019
entrez:
20
11
2019
Statut:
ppublish
Résumé
Intensive care to facilitate organ donation (ICOD) is defined as the initiation or continuation of life-sustaining measures, such as mechanical ventilation, in patients with a devastating brain injury with high probability of evolving to brain death and in whom curative treatment has been completely dismissed and considered futile. ICOD incorporates the option to organ donation allowing a holistic approach to end-of-life care, consistent with the patients wills and values. Should the patient not evolve to brain death, life-supportive treatment must be withdrawal and controlled asystolia donation could be evaluated. ICOD is a legitimate practice, within the ethical and legal regulations that contributes increasing the accessibility of patients to transplantation, promoting health by increasing deceased donation by 24%, and with a mean of 2.3 organs transplanted per donor, and collaborating with the sustainability of health-care system. This ONT-SEMICYUC recommendations provide a guide to facilitate an ICOD harmonized practice in spanish ICUs.
Identifiants
pubmed: 31740045
pii: S0210-5691(19)30237-2
doi: 10.1016/j.medin.2019.09.018
pii:
doi:
Types de publication
Journal Article
Langues
eng
spa
Sous-ensembles de citation
IM
Pagination
234-242Informations de copyright
Copyright © 2019. Publicado por Elsevier España, S.L.U.