PMID- 11645297
OWN - KIE
STAT- MEDLINE
DCOM- 19950807
LR  - 20191105
IS  - 1054-6863 (Print)
IS  - 1054-6863 (Linking)
VI  - 5
IP  - 1
DP  - 1995 Mar
TI  - Non-heart-beating organ donation: a reply to Campbell and Weber.
PG  - 43-9
AB  - In the preceding commentary, Campbell and Weber raise two valid and important 
      issues concerning non-heart-beating organ donation (NHBOD). First, because the 
      procedure links withdrawal of life support and the potential for subsequent organ 
      donation, the desire for organs may create a situation in which care of the dying 
      individual has relatively less importance and the dying may receive suboptimal 
      care. Second, even if concerns about care of the dying were dealt with 
      adequately, there will not be enough non-heart-beating donors to significantly 
      decrease the organ shortage that exists, making the procedure not worth the risk. 
      We agree that attention to the important details of caring for the dying are, and 
      must be, the primary concern of all health care workers caring for those 
      individuals. Ensuring the patients' comfort, dignity, and autonomy, and providing 
      for family and social support are the mainstays of this care. All policies for 
      NHBOD should clearly support and mandate these concepts. Regarding the second 
      concern, we agree that NHBOD is currently rare; however, evidence is increasing 
      that this type of donation has great potential. Continued growth of the practice 
      in this country will depend largely on public acceptance, which we believe will 
      be directly influenced by whether the public perceives that care of the dying is 
      not compromised by this procedure.
FAU - DeVita, Michael A
AU  - DeVita MA
FAU - Vukmir, Rade
AU  - Vukmir R
FAU - Snyder, James V
AU  - Snyder JV
FAU - Graziano, Cheryl
AU  - Graziano C
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Kennedy Inst Ethics J
JT  - Kennedy Institute of Ethics journal
JID - 9109135
RN  - 0 (Pharmaceutical Preparations)
MH  - *Cadaver
MH  - Coma
MH  - *Death
MH  - Decision Making
MH  - Euthanasia, Passive
MH  - Family
MH  - Goals
MH  - Hospitals
MH  - Humans
MH  - Informed Consent
MH  - Life Support Care
MH  - *Organizational Policy
MH  - Palliative Care
MH  - Patients
MH  - Pharmaceutical Preparations
MH  - *Reference Standards
MH  - Resuscitation Orders
MH  - Social Responsibility
MH  - *Terminal Care
MH  - Third-Party Consent
MH  - *Tissue Donors
MH  - *Tissue and Organ Procurement
MH  - Ventilators, Mechanical
MH  - *Withholding Treatment
OID - KIE: 46960
OTO - KIE
OT  - Death and Euthanasia
OT  - Health Care and Public Health
OT  - *University of Pittsburgh Medical Center
GN  - KIE: Commentary on M.L. Campbell et al., "Procuring organs from a 
      non-heart-beating cadaver: commentary on a case report," p. 35-42.
GN  - KIE: KIE BoB Subject Heading: organ and tissue donation
GN  - KIE: KIE BoB Subject Heading: terminal care
GN  - KIE: 8 refs.
EDAT- 1995/03/01 00:00
MHDA- 2001/11/02 10:01
CRDT- 1995/03/01 00:00
PHST- 1995/03/01 00:00 [pubmed]
PHST- 2001/11/02 10:01 [medline]
PHST- 1995/03/01 00:00 [entrez]
AID - 10.1353/ken.0.0021 [doi]
PST - ppublish
SO  - Kennedy Inst Ethics J. 1995 Mar;5(1):43-9. doi: 10.1353/ken.0.0021.