Contribution of the ethics committee of the French society of intensive care medicine to a scenario for the implementation of organ donation after Maastricht III-type cardiac death in France - 06/03/14
for the ethics committee of the SRLF1
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Abstract |
French law allows organ donation after death due to cardiocirculatory arrest. In the Maastricht classification, type III non-heart-beating donors are those who experience cardiocirculatory arrest after the withdrawal of life-sustaining treatments. French authorities in charge of regulating organ donation (Agence de la Biomédecine, ABM) are considering organ collection from Maastricht type III donors. We describe a scenario for Maastricht type III organ donation that fully complies with the ethical norms governing care to dying patients. That organ donation may occur after death should have no impact on the care given to the patient and family. The dead-donor rule must be followed scrupulously: the organ retrieval procedure must neither cause nor hasten death. The decision to withdraw life-sustaining treatments, withdrawal modalities, and care provided to the patient and family must adhere strictly to the requirements set forth in patient-rights legislation (the 2005 Léonetti law in France) and should not be influenced in any way by the possibility of organ donation. A major ethical issue regarding the family is how best to transition from discussing treatment-withdrawal decisions to discussing possible organ retrieval for donation should the patient die rapidly after treatment withdrawal. Close cooperation between the healthcare team and the organ retrieval team is crucial to minimize the distress of family members during this transition. Modalities for implementing Maastricht type III organ donation are discussed here, including the best location for withdrawing life-sustaining treatments (operating room or intensive care unit).
Le texte complet de cet article est disponible en PDF.Keywords : Organ donation, Treatment withdrawal, Cardiocirculatory arrest
Abbreviations : ABM, CCNE, DCDD, HIV, ICU, SFMU, SFAR, SRLF
Plan
☆ | French NeuroAnesthesia and Intensive Care society Meeting, Paris, November 2013, 21st and 22nd: “The acutely brain-injured patient: consciousness and neuroethic”. |
☆☆ | This text has already been published in the Annals of Intensive Care. We are reprinting it here because of its interest for readers of Annales Françaises d’Anesthésie et de Réanimation. Any citation of this article must make reference to the original publication: Graftieaux, et al. Contribution of the ethics committee of the French Intensive Care Society to describing a scenario for implementing organ donation after Maastricht type III cardiocirculatory death in France. Annals of Intensive Care 2012;2:23 (http://dx.doi.org/10.1186/2110-5820-2-23). |
☆☆☆ | This article is published under the responsibility of the Scientific Committee of the “35e Journée de l’Association des neuro-anesthésistes réanimateurs de langue françaises” de la SFAR. The editorial board of the Annales françaises d’anesthésie et de réanimation was not involved in the conception and validation of its content. |
Vol 33 - N° 2
P. 128-134 - février 2014 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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