RT Journal Article
T1 Summary of Spanish recommendations on intensive care to facilitate organ donation.
A1 Martín-Delgado, María C
A1 Martínez-Soba, Fernando
A1 Masnou, Nuria
A1 Pérez-Villares, José M
A1 Pont, Teresa
A1 Sánchez Carretero, María José
A1 Velasco, Julio
A1 De la Calle, Braulio
A1 Escudero, Dolores
A1 Estébanez, Belén
A1 Coll, Elisabeth
A1 Pérez-Blanco, Alicia
A1 Perojo, Lola
A1 Uruñuela, David
A1 Domínguez-Gil, Beatriz
K1 clinical decision-making
K1 critical care/intensive care management
K1 donation after brain death (DBD)
K1 donation after circulatory death (DCD)
K1 donors and donation
K1 ethics and public policy
K1 health services and outcomes research
K1 organ procurement and allocation
AB With the aim of consolidating recommendations about the practice of initiating or continuing intensive care to facilitate organ donation (ICOD), an ad hoc working group was established, comprising 10 intensivists designated by the Spanish Society of Intensive Care and Coronary Units (SEMICYUC) and the Spanish National Transplant Organization (ONT). Consensus was reached in all recommendations through a deliberative process. After a public consultation, the final recommendations were institutionally adopted by SEMICYUC, ONT, and the Transplant Committee of the National Health-Care System. This article reports on the resulting recommendations on ICOD for patients with a devastating brain injury for whom the decision has been made not to apply any medical or surgical treatment with a curative purpose on the grounds of futility. Emphasis is made on the systematic referral of these patients to donor coordinators, the proper assessment of the likelihood of brain death and medical suitability, and on transparency in communication with the patient's family. The legal and ethical aspects of ICOD are addressed. ICOD is considered a legitimate practice that offers more patients the opportunity of donating their organs upon their death and helps to increase the availability of organs for transplantation.
YR 2019
FD 2019-02-22
LK http://hdl.handle.net/10668/13380
UL http://hdl.handle.net/10668/13380
LA en
DS RISalud
RD Jun 1, 2025