Martín-Delgado, María CMartínez-Soba, FernandoMasnou, NuriaPérez-Villares, José MPont, TeresaSánchez Carretero, María JoséVelasco, JulioDe la Calle, BraulioEscudero, DoloresEstébanez, BelénColl, ElisabethPérez-Blanco, AliciaPerojo, LolaUruñuela, DavidDomínguez-Gil, Beatriz2023-01-252023-01-252019-02-22http://hdl.handle.net/10668/13380With 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.enclinical decision-makingcritical care/intensive care managementdonation after brain death (DBD)donation after circulatory death (DCD)donors and donationethics and public policyhealth services and outcomes researchorgan procurement and allocationBrain DeathBrain InjuriesCommunicationCritical CareDeathDecision MakingEthics, MedicalHumansIntensive Care UnitsOrgan TransplantationPatient-Centered CareSocieties, MedicalSpainTerminal CareTissue DonorsTissue and Organ Procurementresearch article30614624open access10.1111/ajt.152531600-6143https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ajt.15253