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Organ Donation and Elective Ventilation: A Necessary Strategy

Organ transplantation is the sole treatment to improve or save the life of patients with final-stage organ failure. The shortage of available organs for transplantation constitutes a universal problem, estimating that 10% of patients on waiting lists die. Brain death is an undesirable result; nevert...

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Autores principales: Escudero, Dolores, Otero, Jesus, Menéndez de León, Begoña, Perez-Basterrechea, Marcos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5274675/
https://www.ncbi.nlm.nih.gov/pubmed/28182115
http://dx.doi.org/10.1155/2017/7518375
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author Escudero, Dolores
Otero, Jesus
Menéndez de León, Begoña
Perez-Basterrechea, Marcos
author_facet Escudero, Dolores
Otero, Jesus
Menéndez de León, Begoña
Perez-Basterrechea, Marcos
author_sort Escudero, Dolores
collection PubMed
description Organ transplantation is the sole treatment to improve or save the life of patients with final-stage organ failure. The shortage of available organs for transplantation constitutes a universal problem, estimating that 10% of patients on waiting lists die. Brain death is an undesirable result; nevertheless, it has beneficial side-effects since it is the most frequent source of organs for transplantation. However, this phenomenon is relatively uncommon and has a limited potential. One of the options that focuses on increasing organ donation is to admit patients with catastrophic brain injuries (with a high probability of brain death and nontreatable) to the Intensive Care Unit, with the only purpose of donation. To perform elective nontherapeutic ventilation (ENTV), a patient's anticipated willingness to donate organs and/or explicit acceptance by his/her relatives is required. This process should focus exclusively on those patients with catastrophic brain injuries and imminent risk of death which, due to its acute damage, are not considered treatable. This article defends ENTV as an effective strategy to improve donation rate, analyzing its ethical and legal basis.
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spelling pubmed-52746752017-02-08 Organ Donation and Elective Ventilation: A Necessary Strategy Escudero, Dolores Otero, Jesus Menéndez de León, Begoña Perez-Basterrechea, Marcos Biomed Res Int Review Article Organ transplantation is the sole treatment to improve or save the life of patients with final-stage organ failure. The shortage of available organs for transplantation constitutes a universal problem, estimating that 10% of patients on waiting lists die. Brain death is an undesirable result; nevertheless, it has beneficial side-effects since it is the most frequent source of organs for transplantation. However, this phenomenon is relatively uncommon and has a limited potential. One of the options that focuses on increasing organ donation is to admit patients with catastrophic brain injuries (with a high probability of brain death and nontreatable) to the Intensive Care Unit, with the only purpose of donation. To perform elective nontherapeutic ventilation (ENTV), a patient's anticipated willingness to donate organs and/or explicit acceptance by his/her relatives is required. This process should focus exclusively on those patients with catastrophic brain injuries and imminent risk of death which, due to its acute damage, are not considered treatable. This article defends ENTV as an effective strategy to improve donation rate, analyzing its ethical and legal basis. Hindawi Publishing Corporation 2017 2017-01-15 /pmc/articles/PMC5274675/ /pubmed/28182115 http://dx.doi.org/10.1155/2017/7518375 Text en Copyright © 2017 Dolores Escudero et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Escudero, Dolores
Otero, Jesus
Menéndez de León, Begoña
Perez-Basterrechea, Marcos
Organ Donation and Elective Ventilation: A Necessary Strategy
title Organ Donation and Elective Ventilation: A Necessary Strategy
title_full Organ Donation and Elective Ventilation: A Necessary Strategy
title_fullStr Organ Donation and Elective Ventilation: A Necessary Strategy
title_full_unstemmed Organ Donation and Elective Ventilation: A Necessary Strategy
title_short Organ Donation and Elective Ventilation: A Necessary Strategy
title_sort organ donation and elective ventilation: a necessary strategy
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5274675/
https://www.ncbi.nlm.nih.gov/pubmed/28182115
http://dx.doi.org/10.1155/2017/7518375
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