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Search for new organ sources : Living donor transplants (Xenotransplants) NHBD
Classification of NHBD
Maastricht categories for NHB organ donors I : dead on arrival uncontrolled NHBD
II : unsuccessful resuscitation uncontrolled NHBD III: awaiting cardiac death controlled NHBD
organ retrieval
therapy withdrawal decision with consent of relatives / time for family to say goodbye
organ retrieval
[Herdman R, Kennedy Inst Ethics J , 1988] [Clayton HA, Transplantation, 2000] [D`Alessandro AM, Surgery, 2000]
therapy withdrawal decision with consent of relatives / time for family to say goodbye
+
report to organ procurement organization with consent of relatives
[antemortal in situ organ preservation]
organ retrieval
organ retrieval
Ethical concerns: NHBD in conscious people Intersection between the right to die and organ donation
the organ donation will only increase the pressure on disabled people to choose to die in belief that by giving their organs up, their lives can have some meaning. The danger is especially acute for people who are newly disabled, many of whom believe, falsley, that live can never be worth living. [Wesley Smith, Culture of Death The Assault on Medical Ethics in America]
Ethical concerns: Pressure for organs opens Pandoras box dead donor ruel might be violated in future
Individuals who desire to donate their organs and who are either neurologically devastated or imminently dying should be allowed to donate their organs, without first being declared dead. [RD Truog, Critical Care Medicine 2003]
The way of NHBD leads very closley along ethical borderlines and therefore has to be well defined.