American Society of Transplant Surgeons Normothermic Regional Perfusion Standards: Ethical, Legal, and Operational Conformance.


Journal

Transplantation
ISSN: 1534-6080
Titre abrégé: Transplantation
Pays: United States
ID NLM: 0132144

Informations de publication

Date de publication:
17 Jul 2024
Historique:
medline: 16 7 2024
pubmed: 16 7 2024
entrez: 16 7 2024
Statut: aheadofprint

Résumé

The American Society of Transplant Surgeons convened a multidisciplinary working group to address operational, ethical, and legal considerations surrounding normothermic regional perfusion (NRP) procurement. The working group, comprising members from American Society of Transplant Surgeons and AST across various disciplines including transplant surgery, hepatology, critical care, and bioethics, collaborated to formulate recommendations and guidance for NRP procurement. The following topics were identified by the group as essential standards that need to be addressed for ethical, legal, and operational conformance: terminology; conceptualization of death in the context of NRP; and communication, logistics, and training and competency. Fourteen recommendations that support the ethical and legal acceptability of NRP in the United States and set expectations for the conduct of NRP procedures are provided.

Sections du résumé

BACKGROUND BACKGROUND
The American Society of Transplant Surgeons convened a multidisciplinary working group to address operational, ethical, and legal considerations surrounding normothermic regional perfusion (NRP) procurement.
METHODS METHODS
The working group, comprising members from American Society of Transplant Surgeons and AST across various disciplines including transplant surgery, hepatology, critical care, and bioethics, collaborated to formulate recommendations and guidance for NRP procurement.
RESULTS RESULTS
The following topics were identified by the group as essential standards that need to be addressed for ethical, legal, and operational conformance: terminology; conceptualization of death in the context of NRP; and communication, logistics, and training and competency.
CONCLUSIONS CONCLUSIONS
Fourteen recommendations that support the ethical and legal acceptability of NRP in the United States and set expectations for the conduct of NRP procedures are provided.

Identifiants

pubmed: 39012935
doi: 10.1097/TP.0000000000005115
pii: 00007890-990000000-00811
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors declare no funding or conflicts of interest.

Références

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Auteurs

Anji E Wall (AE)

Division of Abdominal Transplantation, Baylor University Medical Center, Dallas, TX.

Shaheed Merani (S)

Division of Abdominal Transplantation, University of Nebraska, Omaha, NE.

Jason Batten (J)

Division of Critical Care Medicine, University of California Los Angeles, Los Angeles, CA.

Bonnie Lonze (B)

Transplant Institute, New York University, New York, NY.

Kristin Mekeel (K)

Division of Abdominal Transplantation, University of California San Diego, San Diego CA.

Michael Nurok (M)

Departments of Anesthesiology, Cardiac Surgery, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA.

Jennifer Prinz (J)

Donor Alliance, Denver, CO.

John Gil (J)

Division of Nephrology, University of British Columbia, Vancouver, BC, Canada.

Elizabeth A Pomfret (EA)

Department of Surgery, Division of Transplant Surgery, University of Colorado Anschutz Medical Campus, Denver, CO.

James V Guarrera (JV)

Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ.

Classifications MeSH