Brain Death and Organ Donation in a Neurosurgical Unit: Audit of Recent Practice
BMJ (British Medical Journal). 1990 Nov 24; 301(6762): 1203-1206.
Objective -- to assess the potential for increasing the yield of donors by comparing the current pattern of brain death and organ donation in a neurosurgical unit with that reported in 1981 and with a recent national audit. Design -- retrospective view of all deaths for 1986, 1987, and 1988 and prospective data for 1989...Conclusions -- more organs may be lost owing to transplant team logistics than by failure to seek consent from relatives of brain dead patients. The estimated size of the pool of potential donors depends upon what types of patients might be considered. Ensuring that all who die while being ventilated are tested for brain death and considering the potential for donation before withdrawing ventilation could yield more donors. Ventilating more patients who are hopelessly brain damaged to secure more donors raises ethical and economic issues.
Brain; Brain Death; Brain Pathology; Cadavers; Consent; Death; Determination of Death; Donors; Evaluation; Evaluation Studies; Family Members; Health; Health Facilities; Intensive Care Units; Life; Organ Donation; Patients; Prolongation of Life; Resource Allocation; Relatives; Third Party Consent; Tissue Donation; Ventilators;
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