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Organ and tissue donation 

Organ and tissue donation
Chapter:
Organ and tissue donation
Author(s):

Graeme Rocker

, Kathleen A Puntillo

, Élie Azoulay

, Judith E Nelson

, and Max Watson

DOI:
10.1093/med/9780199239245.003.0013
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date: 19 May 2022

Organ and tissue donation in the ICU 342

Sam D Shemie

There has been an evolution in our understanding that quality palliative care in the ICU should include providing the opportunity to donate organs and/or tissues after death. Transplantation saves and preserves lives and donation is important to many patients and families during the dying process and the grieving stages. Health care providers who regularly manage dying patients, including practitioners of palliative care, should be aware of the criteria and considerations for organ and tissue donation and incorporate these practices. This role in donation is related to managing the dying process, understanding donation criteria, determining death, providing counsel to families, and maintaining the best interests of the dying patient (which may or may not include donation) until they leave the ICU. This is distinct and separate from roles of procurement and transplant professionals, whose involvement may begin with consent discussions but subsequently focuses on arranging surgical procurement and the allocation of organs. This section will assist in the recognition of potential donors within the ICU setting, distinctions between death as determined by neurological and cardiac criteria, and distinctions between organ and tissue donation....

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