학술논문

Death determination and donation after circulatory death: Can physicians reconcile cardiorespiratory death and irreversible loss of brain function?
Document Type
Article
Source
Clinical Ethics. Dec2021, Vol. 16 Issue 4, p307-314. 8p.
Subject
*PROOF & certification of death
*PHYSICIANS
*ORGAN donation
*ORGAN donors
*TERMINALLY ill
*CARDIOPULMONARY system
Language
ISSN
1477-7509
Abstract
Declaration of cardiorespiratory death, as defined by the Uniform Determination of Death Act (UDDA), requires irreversible cessation of circulatory and respiratory function. A physician's ability to confidently declare death is paramount because death is both a biological and social construct, and can afford a dying patient the opportunity to be an organ donor via donation after circulatory death (DCD). Inconsistencies related to cardiorespiratory death and DCD include the specific language used in the UDDA, specifically the use of the word "irreversible". Additionally, in DCD there is a large focus on the auto-resuscitative capacity of the heart, however recently some have argued that instead the focus should shift to the brain and a determination of how long it needs to be without circulation to cease functioning prior to declaring death. In this paper, I discuss inconsistencies with cardiorespiratory death as they pertain to organ donation and posit several possible solutions to mitigate these inconsistencies. [ABSTRACT FROM AUTHOR]