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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Organ donation after circulatory death: the forgotten donor? | Available online http ccforum.eom content 10 5 166 Commentary Organ donation after circulatory death the forgotten donor Mohamed Y Rady1 Joseph L Verheijde2 and Joan McGregor3 1 Department of Critical Care Medicine Mayo Clinic Hospital Mayo Clinic College of Medicine 5777 East Mayo Blvd Phoenix Arizona USA 85054 2Department of Physical Medicine and Rehabilitation Mayo Clinic Hospital Mayo Clinic College of Medicine 5777 East Mayo Blvd Phoenix Arizona UsA 85054 3Bioethics Policy and Law Program School of Philosophy and Life Sciences Arizona State University Box 4501 300 East University Drive Tempe Arizona USA 85281 Corresponding author Mohamed Y Rady rady.mohamed@mayo.edu Published 29 September 2006 This article is online at http ccforum.com content 10 5 166 2006 BioMed Central Ltd Critical Care 2006 10 166 doi 10.1186 cc5038 Abstract Donation after circulatory death DCD can be performed on neurologically intact donors who do not fulfill neurologic or brain death criteria before circulatory arrest. This commentary focuses on the most controversial donor-related issues anticipated from mandatory implementation of DCD for imminent or cardiac death in hospitals across the USA. We conducted a nonstructured review of selected publications and websites for data extraction and synthesis. The recommended 5 min of circulatory arrest does not universally fulfill the dead donor rule when applied to otherwise neurologically intact donors. Scientific evidence from extracorporeal perfusion in circulatory arrest suggests that the procurement process itself can be the event causing irreversibility in DCD. Legislative abandonment of the dead donor rule to permit the recovery of transplantable organs is necessary in the absence of an adequate scientific foundation for DCD practice. The designation of organ procurement organizations or affiliates to obtain organ donation consent introduces self-serving bias and conflicts of interest that interfere with true informed consent. It is .
