EDITOR,--While we can understand the frustration felt by those caring for patients with end organ failure, it is important that the supporters of interventional ventilation question why this procedure has not been adopted widely by intensive care units.1 The reasons go beyond legal issues and inadequate intensive care resources and certainly beyond any emotional feeling against organ donation. Indeed, many intensive care units that are committed to organ donation and enjoy an excellent relationship with transplant centres still have reservations with the practice. Experience with the …