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• W2000597054 abstract "In their Comment on uncontrolled donation after circulatory death (April 7, p 1275),1Rodríguez-Arias D Ortega Deballon I Procotols for uncontrolled donation after circulatory death.Lancet. 2012; 379: 1275-1276Summary Full Text Full Text PDF PubMed Scopus (43) Google Scholar David Rodríguez-Arias and Iván Ortega Deballon state that potential donors do not receive optimal cardiopulmonary resuscitation and that interventions to preserve organs for transplantation could contribute to the death of patients.These contentions are at odds with the basic ethical principles of deceased organ donation: donors must be dead before organ recovery, and care of living patients must not be compromised in favour of organ recipients.2DeVita MA Webb SA Hurford WE et al.Recommendations for nonheartbeating organ donation.Crit Care Med. 2001; 29: 1826-1831Crossref PubMed Scopus (194) Google Scholar To ensure that saving the life of patients remains the priority, those responsible for patients' care, termination of cardiopulmonary resuscitation, and declaration of death are completely separate from those responsible for organ donation and recovery.Protocols for organ donation only start after independent declaration of death by the treating physician when cardiopulmonary resuscitation, including novel treatments if indicated, has failed. Only after permanent cessation of circulation and appropriate consent have been established will interventions to preserve organs for transplantation be undertaken; these interventions must not re-establish cerebral circulation. These principles—corresponding to the recommendations in the Comment—have already been embedded in protocols for uncontrolled donation after circulatory death and in clinical practice.3Wall SP Kaufman BJ Gilbert AJ et al.Derivation of the uncontrolled donation after circulatory determination of death protocol for New York City.Am J Transplant. 2011; 11: 1417-1426Crossref PubMed Scopus (58) Google ScholarWe therefore disagree with Rodríguez-Arias and Ortega Deballon that existing protocols for uncontrolled donation after circulatory death threaten the public perception of organ donation. By contrast, misleading comments that reinforce the deeply rooted fear of receiving less than appropriate care when registered as an organ donor might just do so.MGS was supported by a clinical research trainee grant from the Netherlands Organization for Health Research and Development. All authors work at the transplant unit of Maastricht University Medical Center, which has particular interest in donation after circulatory death. In their Comment on uncontrolled donation after circulatory death (April 7, p 1275),1Rodríguez-Arias D Ortega Deballon I Procotols for uncontrolled donation after circulatory death.Lancet. 2012; 379: 1275-1276Summary Full Text Full Text PDF PubMed Scopus (43) Google Scholar David Rodríguez-Arias and Iván Ortega Deballon state that potential donors do not receive optimal cardiopulmonary resuscitation and that interventions to preserve organs for transplantation could contribute to the death of patients. These contentions are at odds with the basic ethical principles of deceased organ donation: donors must be dead before organ recovery, and care of living patients must not be compromised in favour of organ recipients.2DeVita MA Webb SA Hurford WE et al.Recommendations for nonheartbeating organ donation.Crit Care Med. 2001; 29: 1826-1831Crossref PubMed Scopus (194) Google Scholar To ensure that saving the life of patients remains the priority, those responsible for patients' care, termination of cardiopulmonary resuscitation, and declaration of death are completely separate from those responsible for organ donation and recovery. Protocols for organ donation only start after independent declaration of death by the treating physician when cardiopulmonary resuscitation, including novel treatments if indicated, has failed. Only after permanent cessation of circulation and appropriate consent have been established will interventions to preserve organs for transplantation be undertaken; these interventions must not re-establish cerebral circulation. These principles—corresponding to the recommendations in the Comment—have already been embedded in protocols for uncontrolled donation after circulatory death and in clinical practice.3Wall SP Kaufman BJ Gilbert AJ et al.Derivation of the uncontrolled donation after circulatory determination of death protocol for New York City.Am J Transplant. 2011; 11: 1417-1426Crossref PubMed Scopus (58) Google Scholar We therefore disagree with Rodríguez-Arias and Ortega Deballon that existing protocols for uncontrolled donation after circulatory death threaten the public perception of organ donation. By contrast, misleading comments that reinforce the deeply rooted fear of receiving less than appropriate care when registered as an organ donor might just do so. MGS was supported by a clinical research trainee grant from the Netherlands Organization for Health Research and Development. All authors work at the transplant unit of Maastricht University Medical Center, which has particular interest in donation after circulatory death. Protocols for uncontrolled donation after circulatory death – Authors' replyMaarten Snoeijs and colleagues recap broadly accepted recommendations on protocols for uncontrolled donation after circulatory death, with which we agree. However, they make several statements that do not reflect current practices with regard to out-of-hospital uncontrolled donation after circulatory death in Europe. Full-Text PDF" @default.
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• W2000597054 title "Protocols for uncontrolled donation after circulatory death" @default.
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