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8.6 - Management of Organ Donation Following Circulatory Death

from Section 8 - End-of-Life Care

Published online by Cambridge University Press:  27 July 2023

By
Shankara Nagaraja
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Controlled donation after circulatory death (DCD) follows a planned withdrawal of care.

  2. 2. The organ donation team should not be involved in treatment withdrawal decisions.

  3. 3. Critical pathways for DCD have been outlined by the World Health Organization.

  4. 4. Donation must never cause death of the patient.

  5. 5. After the death, interventions likely to restore cerebral circulation should not be undertaken.

Keywords

organ donationcirculatory deathtreatment withdrawal
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 686 - 688
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Department of Health, Intensive Care Society, NHS Blood and Transplant, British Transplantation Society. Donation after circulatory death. Report of a consensus meeting. London: Department of Health; 2010.Google Scholar
Dunne, K, Doherty, P. Donation after circulatory death. Contin Educ Anaesth Crit Care Pain 2011;11:82–6.Google Scholar
Kotloff, RM, Blosser, S, Fulda, GJ, et al. Management of the potential organ donor in the ICU: Society of Critical Care Medicine/American College of Chest Physicians/Association of Organ Procurement Organizations Consensus Statement. Crit Care Med 2015;43:1291–325.Google Scholar
Manara, AR, Murphy, PG, Ocallaghan, G. Donation after circulatory death. Br J Anaesth 2012;108(Suppl 1):i108–21.Google Scholar
Working Party of The British Transplantation Society. 2013. Transplantation from deceased donors after circulatory death. bts.org.uk/wp-content/uploads/2016/09/15_BTS_Donors_DCD-1.pdfGoogle Scholar

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