Non Heart Beating Organ Transplantation

Author : Institute of Medicine,Division of Health Care Services,Committee on Non-Heart-Beating Transplantation II: The Scientific and Ethical Basis for Practice and Protocols
Publisher : National Academies Press
Page : 173 pages
File Size : 46,5 Mb
Release : 2000-05-19
Category : Medical
ISBN : 9780309066419

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Non-Heart-Beating Organ Transplantation by Institute of Medicine,Division of Health Care Services,Committee on Non-Heart-Beating Transplantation II: The Scientific and Ethical Basis for Practice and Protocols Pdf

In 1997, the Institute of Medicine published a report entitled Non-Heart- Beating Organ Transplantation: Medical and Ethical Issues in Procurement. The findings and recommendations of that study defined the ethical and scientific basis for non-heart-beating organ donation and transplantation, and provided specific recommendations for practices that affirm patient welfare, promote patient and family choice, and avoid conflicts of interest. Following the 1997 study, the Department of Health and Human Services requested a follow up study to promote such efforts. The central activity for this study was a workshop held in Washington, D.C., on May 24-25, 1999. The workshop provided the opportunity for extensive dialogue on non-heart-beating organ donation among hospitals and organ procurement organizations (OPOs) that are actively involved in non-heartbeating organ and tissue donation and those with concerns about whether and how to proceed. The findings and recommendations of this report are based in large measure on the discussions and insights from that workshop. Non-Heart-Beating Organ Transplantation includes seven recommendations for developing and implementing non-heart-beating-donor protocols. These recommendations were based on the findings and recommendations from the 1997 IOM report and consensus achieved among participants at the national workshop. The committee developed these recommendations as steps towards an approach to non-heart-beating-donor organ donation and procurement consistent with underlying scientific and ethical guidelines, patient and family options and choices, and public trust in organ donation.

Author : Committee on Non-Heart-Beating Transplantation II: The Scientific and Ethical Basis for Practice and Protocols,Division of Health Care Services,Institute of Medicine
Publisher : National Academies Press
Page : 152 pages
File Size : 41,8 Mb
Release : 2000-05-03
Category : Medical
ISBN : 0309090474

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Non-Heart-Beating Organ Transplantation by Committee on Non-Heart-Beating Transplantation II: The Scientific and Ethical Basis for Practice and Protocols,Division of Health Care Services,Institute of Medicine Pdf

In 1997, the Institute of Medicine published a report entitled Non-Heart- Beating Organ Transplantation: Medical and Ethical Issues in Procurement. The findings and recommendations of that study defined the ethical and scientific basis for non-heart-beating organ donation and transplantation, and provided specific recommendations for practices that affirm patient welfare, promote patient and family choice, and avoid conflicts of interest. Following the 1997 study, the Department of Health and Human Services requested a follow up study to promote such efforts. The central activity for this study was a workshop held in Washington, D.C., on May 24-25, 1999. The workshop provided the opportunity for extensive dialogue on non-heart-beating organ donation among hospitals and organ procurement organizations (OPOs) that are actively involved in non-heartbeating organ and tissue donation and those with concerns about whether and how to proceed. The findings and recommendations of this report are based in large measure on the discussions and insights from that workshop. Non-Heart-Beating Organ Transplantation includes seven recommendations for developing and implementing non-heart-beating-donor protocols. These recommendations were based on the findings and recommendations from the 1997 IOM report and consensus achieved among participants at the national workshop. The committee developed these recommendations as steps towards an approach to non-heart-beating-donor organ donation and procurement consistent with underlying scientific and ethical guidelines, patient and family options and choices, and public trust in organ donation.

Author : John T. Potts,Roger Herdman,Institute of Medicine
Publisher : National Academies Press
Page : 103 pages
File Size : 47,7 Mb
Release : 1998-01-01
Category : Medical
ISBN : 9780309593106

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Non-Heart-Beating Organ Transplantation by John T. Potts,Roger Herdman,Institute of Medicine Pdf

Non-heart-beating donors (individuals whose deaths are determined by cessation of heart and respiratory function rather than loss of whole brain function) could potentially be of major importance in reducing the gap between the demand for and available supply of organs for transplantation. Prompted by questions concerning the medical management of such donors--specifically, whether interventions undertaken to enhance the supply and quality of potentially transplantable organs (i.e. the use of anticoagulants and vasodilators) were in the best interests of the donor patient--the U.S. Department of Health and Human Services asked the Institute of Medicine to examine from scientific and ethical points of view "alternative medical approaches that can be used to maximize the availability of organs from [a] donor [in an end-of-life situation] without violating prevailing ethical norms...." This book examines transplantation supply and demand, historical and modern conceptions of non-heart-beating donors, and organ procurement organizations and transplant program policies, and contains recommendations concerning the principles and ethical issues surrounding the topic.

Author : David Talbot,Anthony D'Alessandro
Publisher : OUP Oxford
Page : 336 pages
File Size : 47,7 Mb
Release : 2009-03-12
Category : Medical
ISBN : 0199217335

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Organ Donation and Transplantation after Cardiac Death by David Talbot,Anthony D'Alessandro Pdf

This book describes the different uses of donors of organs after cardiac death around the world, based on different laws and logistical issues around the world. Developments have allowed these programmes to flourish such that in 2006 25% of UK kidney transplants were from such donors.

Author : John T. Potts
Publisher : Theclassics.Us
Page : 40 pages
File Size : 49,5 Mb
Release : 2013-09
Category : Electronic
ISBN : 1230444572

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Non-Heart-Beating Organ Transplantation; Medical and Ethical Issues in Procurement by John T. Potts Pdf

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1997-01 edition. Excerpt: ...freedom within some areas while setting minimum standards in others. In general, the NHBD protocols received and reviewed by the IOM have been written or approved within the last 4 years. The oldest was revised and approved in 1993, and the most recent was approved in July 1997. With respect to OPOs that have approved protocols in place, it is important to bear in mind that organs are procured from very few NHBDs (only one or two) by most OPOs each year. The fact that there are 25 OPOs with approved NHBD protocols and that UNOS reports 65 NHBDs in 1996 provides confirmation of the low rate of procurement of organs from NHBDs by most OPOs. Currently, OPOs located at hospitals tend to procure more organs from NHBDs. Review of the NHBD protocols submitted to the IOM reveals a consensus among OPOs in two areas: (1) discussion of organ donation with families and informed consent should take place only after an independent decision to withdraw life support has been made; and (2) the physician who declares death after withdrawal of support shall not be affiliated in any way with the OPO, procurement team, or transplant team. Outside of these two areas, OPO protocols for NHBDs differ greatly. Some variations are merely procedural whereas others imply ethical differences. The criteria for determining death; medical interventions, including the use of heparin and phentolamine, which are directed toward preparation for transplantation rather than donor patient care; intervention by the OPO to assess and prepare the donor before consent for donation and declaration of death; and the timing, approach, and detail of obtaining family consent--all are problematic issues discussed next in this report. A consensus on these issues, expressed in more...

Author : Robert M. Arnold
Publisher : Unknown
Page : 280 pages
File Size : 51,6 Mb
Release : 1995
Category : Medical
ISBN : UOM:39015031844908

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Procuring Organs for Transplant by Robert M. Arnold Pdf

Author : David Talbot,Anthony D'Alessandro
Publisher : OUP Oxford
Page : 336 pages
File Size : 49,9 Mb
Release : 2009-03-12
Category : Medical
ISBN : 9780191550959

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Organ Donation and Transplantation after Cardiac Death by David Talbot,Anthony D'Alessandro Pdf

With the success of organ transplantation and the declining number of heart beating cadaver donors, the number of patients awaiting a transplant continues to rise. This means that alternative sources of donors have been sought, including donors after cardiac death. Such donors sustain rapid damage to their organs due to ischaemia, and as a consequence some organs do not work initially and some none at all. The proportion of such transplants has increased dramatically in recent years- 25% of kidney transplants in the UK were from such donors in 2006 highlighting how much progress has been made. Written by international experts, this book lays out the moral, legal and ethical restraints to using such donors for organ transplant together with the techniques that have been adopted to improve their outcome. The different approaches and results of renal transplant according to country are covered together with the procedures and outcomes adopted to use other organs, notably the liver and lungs.

Author : Takehide Asano,Norihide Fukushima,Takashi Kenmochi,Naoto Matsuno
Publisher : Springer Science & Business Media
Page : 282 pages
File Size : 50,5 Mb
Release : 2014-03-17
Category : Medical
ISBN : 9784431544845

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Marginal Donors by Takehide Asano,Norihide Fukushima,Takashi Kenmochi,Naoto Matsuno Pdf

In response to persistent donor organ shortages, organs from marginal donors, such as expanded criteria donors (ECD) and donation after cardiac death (DCD) donors, are now accepted and have been successfully transplanted, reducing the waiting times for transplantation. Especially in Japan, transplantation of DCD kidneys has a relatively long history because of the difficulty or lack of national consensus in accepting brain death, which has made it possible to accumulate considerable clinical experience. Thus, the current organ shortage has stimulated interest in the use of marginal donors for transplantation. On the other hand, however, it is known that these organs have a high rate of delayed graft function and a more complicated postoperative course. These drawbacks have created the greatest clinical challenge in transplantation to date because of the current shortage and limitations of donors using ECD and DCD. This book, prepared by distinguished authorities in their fields, is intended for clinicians and researchers. It highlights the use of marginal donors as a comparatively novel source of transplantation organs and provides a thorough overview of marginal donors from their historical origins to recent clinical applications, including the state-of-the-art science of organ/donor management, procurement, and preservation. Also provided is valuable information on ABO-incompatible donors which extend the availability of donor sources. Each chapter offers an individual analysis of the optimal requirements for the safe management and preservation of organs, including the heart, lung, liver, kidney, pancreas, and pancreatic islets.

Author : Wayne N. Shelton,John A. Balint
Publisher : Elsevier
Page : 392 pages
File Size : 45,8 Mb
Release : 2001-04-03
Category : Medical
ISBN : 0762307641

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The Ethics of Organ Transplantation by Wayne N. Shelton,John A. Balint Pdf

"Ethics of Organ Transplantation".

Author : Steven J. Jensen
Publisher : CUA Press
Page : 369 pages
File Size : 53,5 Mb
Release : 2011-09
Category : Medical
ISBN : 9780813218748

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The Ethics of Organ Transplantation by Steven J. Jensen Pdf

These questions and others are thoughtfully probed in this collection of essays, which features articles from theologians, philosophers, physicians, biomedical ethicists, and an attorney.

Author : Sque, Magaret R. G.,Payne, Sheila
Publisher : McGraw-Hill Education (UK)
Page : 204 pages
File Size : 42,5 Mb
Release : 2007-03-01
Category : Social Science
ISBN : 9780335216925

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Organ And Tissue Donation: An Evidence Base For Practice by Sque, Magaret R. G.,Payne, Sheila Pdf

This ground-breaking book is a valuable addition to the end-of-life, palliative and bereavement care literature

Author : Stuart J. Youngner,Renée Claire Fox,Laurence J. O'Connell
Publisher : Unknown
Page : 312 pages
File Size : 45,5 Mb
Release : 1996
Category : Medical
ISBN : UOM:39015037345231

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Organ Transplantation by Stuart J. Youngner,Renée Claire Fox,Laurence J. O'Connell Pdf

"This thought-provoking book ponders the far-reaching connections of organ transplantation to human experience. A collaboration among an exceptional group of scholars and physicians, it explores matters of life and death, body and mind, psyche and soul, self and other." "Sponsored by the Chicago-based Park Ridge Center for the Study of Health, Faith, and Ethics, the volume is the result of discussions among a group encompassing many religious and cultural traditions and many fields of expertise: philosophy, art, religion, folklore, psychiatry, anthropology, literature, history, social psychology, and surgery. Whether considering scientific advances in organ transplantation and their implications for medical morality, ambiguous images of organ transplantation in centuries of art and literature, and practices of organ procurement, or the complex bonds that are forged between donors, recipients, and their families, these essays carry our understanding beyond the typical scientific and pragmatic issues raised in discussions of bioethics and public policy."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved

Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Increasing Rates of Organ Donation
Publisher : National Academies Press
Page : 359 pages
File Size : 53,5 Mb
Release : 2006-09-24
Category : Medical
ISBN : 9780309101141

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Organ Donation by Institute of Medicine,Board on Health Sciences Policy,Committee on Increasing Rates of Organ Donation Pdf

Rates of organ donation lag far behind the increasing need. At the start of 2006, more than 90,000 people were waiting to receive a solid organ (kidney, liver, lung, pancreas, heart, or intestine). Organ Donation examines a wide range of proposals to increase organ donation, including policies that presume consent for donation as well as the use of financial incentives such as direct payments, coverage of funeral expenses, and charitable contributions. This book urges federal agencies, nonprofit groups, and others to boost opportunities for people to record their decisions to donate, strengthen efforts to educate the public about the benefits of organ donation, and continue to improve donation systems. Organ Donation also supports initiatives to increase donations from people whose deaths are the result of irreversible cardiac failure. This book emphasizes that all members of society have a stake in an adequate supply of organs for patients in need, because each individual is a potential recipient as well as a potential donor.

Author : Mohammed Ali Al-Bar,Hassan Chamsi-Pasha
Publisher : Springer
Page : 267 pages
File Size : 55,5 Mb
Release : 2015-05-27
Category : Medical
ISBN : 9783319184289

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Contemporary Bioethics by Mohammed Ali Al-Bar,Hassan Chamsi-Pasha Pdf

This book discusses the common principles of morality and ethics derived from divinely endowed intuitive reason through the creation of al-fitr' a (nature) and human intellect (al-‘aql). Biomedical topics are presented and ethical issues related to topics such as genetic testing, assisted reproduction and organ transplantation are discussed. Whereas these natural sources are God’s special gifts to human beings, God’s revelation as given to the prophets is the supernatural source of divine guidance through which human communities have been guided at all times through history. The second part of the book concentrates on the objectives of Islamic religious practice – the maqa' sid – which include: Preservation of Faith, Preservation of Life, Preservation of Mind (intellect and reason), Preservation of Progeny (al-nasl) and Preservation of Property. Lastly, the third part of the book discusses selected topical issues, including abortion, assisted reproduction devices, genetics, organ transplantation, brain death and end-of-life aspects. For each topic, the current medical evidence is followed by a detailed discussion of the ethical issues involved.

Author : British Transplantation Society
Publisher : Unknown
Page : 35 pages
File Size : 40,8 Mb
Release : 2005*
Category : Transplantation of organs, tissues, etc
ISBN : 0954222172

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Guidelines Relating to Solid Organ Transplants from Non-heart Beating Donors by British Transplantation Society Pdf