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Circulatory arrest in a brain-dead organ donor: is the use of cardiac compression permissible?
MedLine Citation:
PMID:  19850561     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Care of the brain-dead patient is common in intensive care practice. Aggressive donor management is advocated to increase supply of viable organs. Significant controversy exists over cardiac resuscitation in patients determined dead by cardiac criteria. The issue, till now, has not been addressed in brain dead patients. We discuss a case of cardiac resuscitation of a brain-dead donor to ensure organ donation. This case allows us to examine the use of brain death criteria to declare death, the controversy regarding cardiac resuscitation in organ donor patients, and the standards for use of cardiac resuscitation in the organ donor declared dead by brain death criteria. The consent process for organ donation in brain dead patients should address the possibility of subsequent cardiac arrest.
Authors:
Brian Cummings; Natan Noviski; Michael P Moreland; John J Paris
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of intensive care medicine     Volume:  24     ISSN:  1525-1489     ISO Abbreviation:  J Intensive Care Med     Publication Date:    2009 Nov-Dec
Date Detail:
Created Date:  2009-11-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8610344     Medline TA:  J Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  389-92     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Massachusetts General Hospital, Cambridge, Boston, Massachusetts 02114, USA. bmcummings@partners.org
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Comments/Corrections
Comment In:
J Intensive Care Med. 2009 Nov-Dec;24(6):393-4   [PMID:  19926631 ]

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