LEADER 05337nam 2200709 a 450 001 9910965567803321 005 20251017110112.0 010 $a9786610210237 010 $a9780309174206 010 $a0309174201 010 $a9781280210235 010 $a1280210230 010 $a9780309593106 010 $a0309593107 010 $a9780585023861 010 $a0585023867 035 $a(CKB)110986584752624 035 $a(SSID)ssj0000211850 035 $a(PQKBManifestationID)11201943 035 $a(PQKBTitleCode)TC0000211850 035 $a(PQKBWorkID)10135752 035 $a(PQKB)11325850 035 $a(MiAaPQ)EBC3376365 035 $a(Au-PeEL)EBL3376365 035 $a(CaPaEBR)ebr10055530 035 $a(OCoLC)923262970 035 $a(Perlego)4734391 035 $a(DNLM)840291 035 $a(BIP)47562825 035 $a(EXLCZ)99110986584752624 100 $a19980129d1997 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aNon-heart-beating organ transplantation $emedical and ethical issues in procurement /$fDivision of Health Care Services, Institute of Medicine ; Roger Herdman, study director, and John T. Potts, principal investigator 205 $a1st ed. 210 $aWashington, D.C. $cNational Academy Press$d1997 215 $a1 online resource (x, 92 pages) $cmap 300 $aBibliographic Level Mode of Issuance: Monograph 311 0 $a9780309064248 311 0 $a0309064244 320 $aIncludes bibliographical references (p. 65-72). 327 $aNon-Heart-Beating Organ Transplantation -- Copyright -- Preface -- ACKNOWLEDGEMENTS -- Senior Special Experts -- Contents -- Executive Summary -- 1 Introduction -- 2 Transplantation Supply and Demand -- SUPPLY -- DEMAND -- IMPROVING SUPPLY -- 3 Background -- THE HISTORICAL NHBD -- NEUROLOGIC CRITERIA FOR DEATH -- 4 The Modern Non-Heart-Beating Donor -- THE CONTROLLED NHBD -- THE UNCONTROLLED NHBD -- CURRENT STATUS OF THE NHBD IN TRANSPLANTATION -- 5 Survey of Organ Procurement Organization and Transplant Program Policies -- INTEREST IN OPO NHBD PROTOCOLS -- PROTOCOL STATISTICS -- IDENTIFICATION OF POTENTIAL DONORS -- APPROACH TO FAMILY FOR CONSENT -- OPO AND PROCUREMENT TEAM INTERVENTION BEFORE DEATH -- MEDICATION -- WITHDRAWAL OF LIFE SUPPORT AND DECLARATION OF DEATH -- UNCONTROLLED NHDS -- CONCLUSION -- 6 Analysis, Findings, and Recommendations -- GENERAL PRINCIPLES -- POLICIES AND OVERSIGHT -- MEDICAL INTERVENTIONS AND ETHICS -- CONFLICTS OF INTEREST -- DETERMINATION OF DEATH -- FAMILIES -- References -- Appendix A Letter to the Institute of Medicine from the Department of Health and Human Services -- Appendix B Agenda and Summary of Workshop on Medical and Ethical Issues in Maintaining the Viability of Organs for? -- AGENDA -- WORKSHOP SUMMARY -- Federal Government and Political Considerations -- UNOS: Procurement, Allocation, and Data Collection -- Organ Procurement Issues in the Context of the NHBD -- Scientific Issues and Medical Perspectives -- TRANSPLANT COORDINATION -- NHBD Supply, Results, Projections, and Other Information -- Consumer Concerns of Donors and Recipients -- Scientific Issues and Surgical Perspectives -- Ethical Concerns -- Determination of Death -- Interventions to Promote Organ Viability -- Conflicts of Interest -- Conclusion. 327 $aAppendix C U.S. Organ Procurement Organizations and Letter of Request for Non-Heart-Beating Donor Protocols. 330 $aNon-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. 606 $aNon-heart-beating organ donation$xMoral and ethical aspects 606 $aOrgan donors 615 0$aNon-heart-beating organ donation$xMoral and ethical aspects. 615 0$aOrgan donors. 676 $a362.1/783 700 $aPotts$b John T.$f1932-$01813770 701 $aHerdman$b Roger$01806336 712 02$aInstitute of Medicine (U.S.).$bDivision of Health Care Services. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910965567803321 996 $aNon-heart-beating organ transplantation$94367198 997 $aUNINA