Intensive care to facilitate organ donation. ONT-SEMICYUC recommendations
Autor: | D. Escudero Augusto, B. de la Calle, J.M. Pérez Villares, José A. De Velasco, A. Pérez Blanco, M.J. Sánchez-Carretero, Belén Estébanez, D. Perojo, F. Martínez Soba, N. Masnou, Elisabeth Coll, D. Uruñuela, Beatriz Domínguez-Gil, M.C. Martín Delgado, Teresa Pont |
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Rok vydání: | 2021 |
Předmět: |
High probability
Mechanical ventilation medicine.medical_specialty business.industry medicine.medical_treatment 030208 emergency & critical care medicine Transplantation 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Considered futile Donation Intensive care medicine In patient Organ donation Intensive care medicine business |
Zdroj: | Medicina Intensiva (English Edition). 45:234-242 |
ISSN: | 2173-5727 |
DOI: | 10.1016/j.medine.2020.03.001 |
Popis: | Intensive care to facilitate organ donation (ICOD) is defined as the initiation or continuation of life-sustaining measures, such as mechanical ventilation, in patients with a devastating brain injury with high probability of evolving to brain death and in whom curative treatment has been completely dismissed and considered futile. ICOD incorporates the option to organ donation allowing a holistic approach to end-of-life care, consistent with the patients wills and values. Should the patient not evolve to brain death, life-supportive treatment must be withdrawal and controlled asystolia donation could be evaluated. ICOD is a legitimate practice, within the ethical and legal regulations that contributes increasing the accessibility of patients to transplantation, promoting health by increasing deceased donation by 24%, and with a mean of 2.3 organs transplanted per donor, and collaborating with the sustainability of health-care system. This ONT-SEMICYUC recommendations provide a guide to facilitate an ICOD harmonized practice in spanish ICUs. |
Databáze: | OpenAIRE |
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