Heart & Lung: The Journal of Acute and Critical Care
Volume 35, Issue 3 , Pages 190-197 , May 2006

Caring for organ donors: The intensive care unit physicians’ view

  • Maria Lúcia Araujo Sadala, RGN, PhD

      Affiliations

    • Nursing Department, Faculty of Medicine of Botucatu, Universidade Estadual Paulista “Júlio de Mesquita Filho,” Botucatu, São Paulo, Brazil
    • Corresponding Author InformationReprint requests: Maria Lúcia Araujo Sadala, Avenida Mário Arita 163, Araraquara, CEP 14802-404, São Paulo, Brazil.
    • ,
  • Marisa Lorençon, RGN

      Affiliations

    • Hospital da Clínicas de Botucatu, Faculty of Medicine of Botucatu, Universidade Estadual Paulista “Júlio de Mesquita Filho,” Botucatu, São Paulo, Brazil
    • ,
  • Márcia Cercal, RGN

      Affiliations

    • Hospital da Clínicas de Botucatu, Faculty of Medicine of Botucatu, Universidade Estadual Paulista “Júlio de Mesquita Filho,” Botucatu, São Paulo, Brazil
    • ,
  • Arthur Schelp, PhD

      Affiliations

    • Neurology Department, Faculty of Medicine of Botucatu, Universidade Estadual Paulista “Júlio de Mesquita Filho,” Botucatu, São Paulo, Brazil.

References 

  1. Lazar NM , Shemie S , Webster GC , Dickens BM . Bioethics for clinicians: 24. Brain death . CMAJ . 2001;164:833–836
  2. Dagi F , Kaufman R . Clarifying the discussion on brain death . J Med Philos . 2001;26:503–525
  3. Wijdicks EFM . Brain death worldwide (accepted fact but no global consensus in diagnostic criteria) . Neurology . 2002;58:20–25
  4. Van Norman GA . A matter of life and death. What every anesthesiologist should know about the medical, legal and ethical aspects of declaring brain death . Anesthesiology . 1999;91:275–287
  5. Ramos Filho SM . Estudo bioético da legislação sobre a doação e transplante de órgãos nos países do Mercosul (Bioethical study on law on organ donation and transplant in the countries of Mercosul) . 1999; Dissertation, Faculdade de Saúde Pública da Universidade de São Paulo, Brazil
  6. Parker M , Shemie SD . Pro/con ethics debate (should mechanical ventilation be continued to allow for progression to brain death so that can be donated?) . Crit Care . 2002;6:399–402
  7. Booth CM , Boone RH , Tomlinson G , Detsky AS . Is the patient dead, vegetative, or severely neurologically impaired? Assessing outcome for comatose survivors of cardiac arrest . J Am Med Assoc . 2004;291:870–879
  8. Engelhardt HT . The foundation of bioethics . 2nd ed.. New York: Oxford University Press; 1996;
  9. Jonas H . Against the stream comments on the definition and redefinition of death . In:  Beauchamp RTL ,  Veath RM editor. Ethical issues in death and dying . 2nd ed.. NJ: Prentice-Hall; 1996;p. 23–27
  10. Dantas FV , Sardinha LAC , Falcão ALE , Araújo S , Terzi RGG , Damasceno BP . Dos conceitos de morte aos critérios para o diagnóstico de morte encefálica (From death criteria to criteria for encaphalic death diagnosis) . Arq Neuropsiquiat . 1996;54:705–710
  11. Paula FJ . Editorial . Braz Rec Transplant . 1998;4:2
  12. Pessini L , Barchifontaine CP . Problemas atuais da bioética (Current bioethics problems) . 4th ed.. São Paulo, Brazil: Edições Loyola; 1998;
  13. Price DP . Organ transplant initiatives (the twilight zone) . J Med Ethics . 1997;23:170–175
  14. Truog RD , Robinson WM . Role of brain death and the dead-donor rule in the ethics of organ transplantation . Crit Care Med . 2003;31:2391–2396
  15. Giacomini M . A change of heart and a change of mind? Technology and the redefinition of death in 1968 . Soc Sci Med . 1997;44:1465–1482
  16. Turner L . An anthropological exploration of contemporary bioethics (the varieties of common sense) . J Med Ethics . 1998;24:127–133
  17. Belkiss GS . Brain death and the historic understanding of bioethics . J Hist Med Allied Sci . 2003;58:325–361
  18. Doig CJ , Burgess E . Brain death (resolving inconsistencies in the ethical declaration of death) . Can J Anaesth . 2003;50:725–731
  19. Sadala MLA , Mendes HB . Caring for organ donors (the intensive care unit nurses’ view) . Qual Health Res . 2000;10:788–806
  20. Sadala MLA . A experiência de doar órgãos na visão de familiares de doadores . J Bras Nefrol . 2001;23:143–151
  21. Sadala MLA , Adorno RC . Phenomenology as a method to investigate the experience lived (a perspective from Husserl and Merleau Ponty’s thought) . J Adv Nurs . 2002;37:282–293
  22. Merleau PM . Phénoménologie de la perception (Phenomenology of perception) . Paris: Gallimard; 1945;
  23. Gogliano D . Pacientes terminais—Morte encefálica (Terminal Patients—Encephalic death) . Bioética . 1993;1:43–59
  24. Pestana JOM , Vaz MLS , Delmonte CA , Cavechia SR , Pacheco M , Piveta VM , et al.   Estimativa do número de potenciais doadores de órgãos da cidade de São Paulo (An estimate on the number of potential organ donors in the city of São Paulo) . Rev Assoc Med Bras . 1993;38:97–100
  25. Vaz MLS . Estudo da necessidade de transplante de órgãos no Brasil e a disponibilidade de doadores (Study on the need of organ transplants in Brazil and donors’ availability) . 1993; Dissertation. Escola Paulista de Medicina, São Paulo, Brazil
  26. Ferreira U , Fregonese A , Scafi C , Bachega EB , Lima ML , Netto NR . Doação de órgãos: qual é a realidade? (Organ donation: what is the reality?) . J Bras Urol . 1998;24:19–22
  27. Powner DJ , Darby JM . Current considerations in issue of brain death . Neurosurgery . 1999;45:1222–1226
  28. Jakubowska-Winecka A . Psychological rules of communication with relatives of a potential organ-donor Polish experience . Ann Transplant . 1998;3:42–45
  29. Johnson C . The nurse’s role in organ donation from a brainstem dead patient (management of the family) . Intens Crit Care Nurs . 1992;8:140–148
  30. Corrêa FA . A alteridade como critério fundamental e englobante da Bioética (The awareness of the other as a fundamental and encompassing criterion of Bioethics) . 1993; Doctoral dissertation, Faculdade de Educação, UNICAMP, Campinas, Brazil
  31. Motta MMCM . Novos aspectos da cirurgia moderna (New aspects of modern surgery) . O Hosp . 1968;3:79–80
  32. Freitas PEP , Coutinho MF . Morte, um novo conceito: do coração ao cérebo (Death, a new concept: from the heart to the brain) . Rev AMRIGS . 1987;31:22–26
  33. Forte LV , Peluso CM , Rabello GD , Pereira WC . Função encefálica residual: problema para a confirmação de morte encefálica em doadores potenciais de tecidos (Residual encephalic function: the problem to confirm encephalic death in potential tissue donors) . Ann Paul Med Cir . 1996;123:54–59
  34. Coimbra CG . Implications of ischemic penumbra for the diagnosis of brain death . Braz J Med Res . 1999;32:1679–1687

PII: S0147-9563(06)00003-3

doi: 10.1016/j.hrtlng.2005.12.004

Heart & Lung: The Journal of Acute and Critical Care
Volume 35, Issue 3 , Pages 190-197 , May 2006

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