Non-Therapeutic (Elective) Ventilation of Potential Organ Donors: The Ethical Basis for Changing the Law
Journal of Medical Ethics. 1996 Apr; 22(2): 72-77.
Non-therapeutic ventilation of potential organ donors would increase the supply of kidneys for transplantation. There are no major ethical objections to it. The means of permitting it are forbidden by laws with an ethical basis. A law permitting it would need an ethical basis. Introducing a third legal method of diagnosing death would be unethical. Expanding the power of the advance directive to permit procedures involving minimal harm would be ethical but not helpful. Extending the power of proxies to permit specific non-therapeutic procedures which caused or risked minimal harm to incompetent patients is the best way forward.
Advance Directives; Costs and Benefits; Coma; Consent; Death; Determination of Death; Donors; Family Members; Harm; Hospitals; Informed Consent; Institutional Policies; Intensive Care Units; Kidneys; Law; Legal Aspects; Life; Laws; Moral Policy; Organ Donors; Organ Transplantation; Patient Transfer; Patients; Prognosis; Prolongation of Life; Public Policy; Power; Renal Dialysis; Resource Allocation; Risks and Benefits; Scarcity; Third Party Consent; Tissue Donation; Transplantation; Ventilators;
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Riad, Hany; Nicholls, Anthony; Neuberger, Julia; Willatts, Sheila M.; Sells, Robert A.; Jones, Michael A.; Francis, Robert (1995-03-18)Elective ventilation describes the procedure of transferring selected patients dying from rapidly progressive intracranial haemorrhage from general medical wards to intensive care units for a brief period of ventilation ...