PMID- 12796441
OWN - NLM
STAT- MEDLINE
DCOM- 20030819
LR  - 20190503
IS  - 0306-6800 (Print)
IS  - 1473-4257 (Electronic)
IS  - 0306-6800 (Linking)
VI  - 29
IP  - 3
DP  - 2003 Jun
TI  - Non-heart beating organ donation: old procurement strategy--new ethical problems.
PG  - 176-81
AB  - The imbalance between supply of organs for transplantation and demand for them is 
      widening. Although the current international drive to re-establish procurement 
      via non-heart beating organ donation/donor (NHBOD) is founded therefore on 
      necessity, the process may constitute a desirable outcome for patient and family 
      when progression to brain stem death (BSD) does not occur and conventional organ 
      retrieval from the beating heart donor is thereby prevented. The literature 
      accounts of this practice, however, raise concerns that risk jeopardising 
      professional and public confidence in the broader transplant programme. This 
      article focuses on these clinical, ethical, and legal issues in the context of 
      other approaches aimed at increasing donor numbers. The feasibility of 
      introducing such an initiative will hinge on the ability to reassure patients, 
      families, attendant staff, professional bodies, the wider public, law enforcement 
      agencies, and the media that practitioners are working within explicit guidelines 
      which are both ethically and legally defensible.
FAU - Bell, M D D
AU  - Bell MD
AD  - Intensive Care, The General Infirmary at Leeds, Great George Street, Leeds LS1 
      3EX, UK. dom@wybells.freeserve.co.uk
LA  - eng
PT  - Journal Article
PL  - England
TA  - J Med Ethics
JT  - Journal of medical ethics
JID - 7513619
SB  - IM
CIN - J Med Ethics. 2003 Jun;29(3):127-30. PMID: 12796425
MH  - Attitude to Death
MH  - Brain Death
MH  - Cadaver
MH  - *Death
MH  - Heart Arrest/physiopathology
MH  - Humans
MH  - Interprofessional Relations
MH  - Public Opinion
MH  - Risk Factors
MH  - Tissue and Organ Procurement/*ethics
MH  - Trust
PMC - PMC1733729
OID - KIE: 111315
OTO - KIE
OT  - Death and Euthanasia
OT  - Health Care and Public Health
EDAT- 2003/06/11 05:00
MHDA- 2003/08/20 05:00
PMCR- 2006/06/01
CRDT- 2003/06/11 05:00
PHST- 2003/06/11 05:00 [pubmed]
PHST- 2003/08/20 05:00 [medline]
PHST- 2003/06/11 05:00 [entrez]
PHST- 2006/06/01 00:00 [pmc-release]
AID - 10.1136/jme.29.3.176 [doi]
PST - ppublish
SO  - J Med Ethics. 2003 Jun;29(3):176-81. doi: 10.1136/jme.29.3.176.