Education And Debate

An Ethical Debate: Practical implications

BMJ 1995; 310 doi: (Published 18 March 1995) Cite this as: BMJ 1995;310:717
  1. Robert A Sells

    The relation between transplant centres and intensive care units is a delicate one: while we are entitled to expect cooperation from intensivists in the provision of organs, transplant surgeons can do little to force intensive care staff to cooperate if bed space is limited or if emotional feeling against organ donation runs high. We can merely encourage and facilitate cadaveric donation by emphasising its humanitarian benefits and economic utility. We also try to help the staff with the process of donation through our regional transplant coordinator organisation.

    To many transplanters, the elective ventilation protocol was a welcome initiative, and the plan to resuscitate stroke patients for organ donation was perceived as altruistic, imaginative, useful, and safe. The Exeter team …

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