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Non-Heart-Beating Organ Transplantation

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Release : 2000-05-19
Genre : Medical
Kind : eBook
Book Rating : 417/5 ( reviews)

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Book Synopsis Non-Heart-Beating Organ Transplantation by : Institute of Medicine

Download or read book Non-Heart-Beating Organ Transplantation written by Institute of Medicine. This book was released on 2000-05-19. Available in PDF, EPUB and Kindle. Book excerpt: In 1997, the Institute of Medicine published a report entitled Non-Heart- Beating Organ Transplantation: Medical and Ethical Issues in Procurement. The findings and recommendations of that study defined the ethical and scientific basis for non-heart-beating organ donation and transplantation, and provided specific recommendations for practices that affirm patient welfare, promote patient and family choice, and avoid conflicts of interest. Following the 1997 study, the Department of Health and Human Services requested a follow up study to promote such efforts. The central activity for this study was a workshop held in Washington, D.C., on May 24-25, 1999. The workshop provided the opportunity for extensive dialogue on non-heart-beating organ donation among hospitals and organ procurement organizations (OPOs) that are actively involved in non-heartbeating organ and tissue donation and those with concerns about whether and how to proceed. The findings and recommendations of this report are based in large measure on the discussions and insights from that workshop. Non-Heart-Beating Organ Transplantation includes seven recommendations for developing and implementing non-heart-beating-donor protocols. These recommendations were based on the findings and recommendations from the 1997 IOM report and consensus achieved among participants at the national workshop. The committee developed these recommendations as steps towards an approach to non-heart-beating-donor organ donation and procurement consistent with underlying scientific and ethical guidelines, patient and family options and choices, and public trust in organ donation.

Non-Heart-Beating Organ Transplantation

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Author :
Release : 1998-01-01
Genre : Medical
Kind : eBook
Book Rating : 107/5 ( reviews)

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Book Synopsis Non-Heart-Beating Organ Transplantation by : John T. Potts

Download or read book Non-Heart-Beating Organ Transplantation written by John T. Potts. This book was released on 1998-01-01. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Non-Heart-Beating Organ Transplantation

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Author :
Release : 2000-05-03
Genre : Medical
Kind : eBook
Book Rating : 476/5 ( reviews)

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Book Synopsis Non-Heart-Beating Organ Transplantation by : Committee on Non-Heart-Beating Transplantation II: The Scientific and Ethical Basis for Practice and Protocols

Download or read book Non-Heart-Beating Organ Transplantation written by Committee on Non-Heart-Beating Transplantation II: The Scientific and Ethical Basis for Practice and Protocols. This book was released on 2000-05-03. Available in PDF, EPUB and Kindle. Book excerpt: In 1997, the Institute of Medicine published a report entitled Non-Heart- Beating Organ Transplantation: Medical and Ethical Issues in Procurement. The findings and recommendations of that study defined the ethical and scientific basis for non-heart-beating organ donation and transplantation, and provided specific recommendations for practices that affirm patient welfare, promote patient and family choice, and avoid conflicts of interest. Following the 1997 study, the Department of Health and Human Services requested a follow up study to promote such efforts. The central activity for this study was a workshop held in Washington, D.C., on May 24-25, 1999. The workshop provided the opportunity for extensive dialogue on non-heart-beating organ donation among hospitals and organ procurement organizations (OPOs) that are actively involved in non-heartbeating organ and tissue donation and those with concerns about whether and how to proceed. The findings and recommendations of this report are based in large measure on the discussions and insights from that workshop. Non-Heart-Beating Organ Transplantation includes seven recommendations for developing and implementing non-heart-beating-donor protocols. These recommendations were based on the findings and recommendations from the 1997 IOM report and consensus achieved among participants at the national workshop. The committee developed these recommendations as steps towards an approach to non-heart-beating-donor organ donation and procurement consistent with underlying scientific and ethical guidelines, patient and family options and choices, and public trust in organ donation.

Non-Heart-Beating Organ Transplantation; Medical and Ethical Issues in Procurement

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Release : 2013-09
Genre :
Kind : eBook
Book Rating : 574/5 ( reviews)

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Book Synopsis Non-Heart-Beating Organ Transplantation; Medical and Ethical Issues in Procurement by : John T. Potts

Download or read book Non-Heart-Beating Organ Transplantation; Medical and Ethical Issues in Procurement written by John T. Potts. This book was released on 2013-09. Available in PDF, EPUB and Kindle. Book excerpt: This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1997-01 edition. Excerpt: ...freedom within some areas while setting minimum standards in others. In general, the NHBD protocols received and reviewed by the IOM have been written or approved within the last 4 years. The oldest was revised and approved in 1993, and the most recent was approved in July 1997. With respect to OPOs that have approved protocols in place, it is important to bear in mind that organs are procured from very few NHBDs (only one or two) by most OPOs each year. The fact that there are 25 OPOs with approved NHBD protocols and that UNOS reports 65 NHBDs in 1996 provides confirmation of the low rate of procurement of organs from NHBDs by most OPOs. Currently, OPOs located at hospitals tend to procure more organs from NHBDs. Review of the NHBD protocols submitted to the IOM reveals a consensus among OPOs in two areas: (1) discussion of organ donation with families and informed consent should take place only after an independent decision to withdraw life support has been made; and (2) the physician who declares death after withdrawal of support shall not be affiliated in any way with the OPO, procurement team, or transplant team. Outside of these two areas, OPO protocols for NHBDs differ greatly. Some variations are merely procedural whereas others imply ethical differences. The criteria for determining death; medical interventions, including the use of heparin and phentolamine, which are directed toward preparation for transplantation rather than donor patient care; intervention by the OPO to assess and prepare the donor before consent for donation and declaration of death; and the timing, approach, and detail of obtaining family consent--all are problematic issues discussed next in this report. A consensus on these issues, expressed in more...

Procuring Organs for Transplant

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Author :
Release : 1995
Genre : Medical
Kind : eBook
Book Rating : /5 ( reviews)

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Book Synopsis Procuring Organs for Transplant by : Robert M. Arnold

Download or read book Procuring Organs for Transplant written by Robert M. Arnold. This book was released on 1995. Available in PDF, EPUB and Kindle. Book excerpt:

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