Abstract

PEREZ VILLARES, José Miguel. Bioethics in donation and organ transplants. Rev. Bioética y Derecho [online]. 2020, n.48, pp.95-109.  Epub May 11, 2020. ISSN 1886-5887.

The intensivists constitute the cornerstone of the Spanish model of donation and transplants. In the process of informing relatives in uncontrolled donation after circulatory death, autonomy must be respected, not maleficence and justice must be observed. This procedure will only be activated once all possible treatment options, including E-CPR where available, have been ruled out due to non-indication or futility. The use of a catheter for an aortic block with left radial blood pressure monitoring avoids the ethical problem of unwanted resuscitation in controlled donation after circulatory death, by ensuring that circulation to the heart and brain is not restored after the onset of ECMO after the death. Intensivists should remember that, for professionals who care for patients in end-of-life scenarios, offering the option of organ and tissue donation is an obligation to respect the autonomy of our patients.

Keywords : Intensivists; transplants; donation after circulatory death; E-CPR; ECMO.

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