Non-heart-beating donors (individuals whose deaths are determined
by cessation of heart and respiratory function rather than loss of
whole brain function) could potentially be of major importance in
reducing the gap between the demand for and available supply of
organs for transplantation. Prompted by questions concerning the
medical management of such donors?specifically, whether
interventions undertaken to enhance the supply and quality of
potentially transplantable organs (i.e. the use of anticoagulants
and vasodilators) were in the best interests of the donor
patient?the U.S. Department of Health and Human Services asked the
Institute of Medicine to examine from scientific and ethical points
of view "alternative medical approaches that can be used to
maximize the availability of organs from [a] donor [in an
end-of-life situation] without violating prevailing ethical
norms...." This book examines transplantation supply and demand,
historical and modern conceptions of non-heart-beating donors, and
organ procurement organizations and transplant program policies,
and contains recommendations concerning the principles and ethical
issues surrounding the topic. Table of Contents Front Matter
Executive Summary 1 Introduction 2 Transplantation Supply and
Demand 3 Background 4 The Modern Non-Heart-Beating Donor 5 Survey
of Organ Procurement Organization and Transplant Program Policies 6
Analysis, Findings, and Recommendations References Appendix A
Appendix B Appendix C
General
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