Bioethical Aspects of Donation in Controlled Asystole in Paediatrics (I)

Authors

  • María Teresa Montero Cebrián Hospital Clínico Universitario Virgen de la Arrixaca
  • Ricardo Javier Martino Alba Hospital Infantil Universitario Niño Jesús
  • Eva María Rodríguez Martínez Hospital Clínico Universitario Virgen de la Arrixaca
  • Carlos Rodríguez Martínez Hospital de la Vega Baja
  • Elena Rodríguez Montero Universidad Católica San Antonio de Murcia

DOI:

https://doi.org/10.14422/rib.i20.y2022.008

Keywords:

donation, asystole, ethics, paediatrics

Abstract

Children present higher morbidity and mortality on the transplant waiting list than adults and, in addition, they have a great difficulty in obtaining donors. Pediatric donation in controlled asystole (DACp) could improve transplant conditions of many patients. Despite, given that DACp requires adjustment in certain aspects of the medical assistance before the donor’s death, bioethicist experts and healthcare professionals have expressed deontological doubts not sufficiently debated. This work brings out both the bioethical problems with major clinical significance that should be considered ir order to respect the ethical principles of the donation process.

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References

Álvarez, J. M. y Santos, J. A. (2014) Análisis de los aspectos bioéticos en los programas de donación en asistolia controlada. Acta bioethica, 20(1), 9-21. https://doi.org/10.4067/S1726-569X2014000100002

Álvarez, J. M. (2018). Visión Crítica: la incentivación, los protocolos y los profesionales. En Javier de la Torre (ed.), Trasplantes en el siglo XXI. Una reflexión interdisciplinar (pp. 135-152). Universidad Pontificia Comillas.

Bennett, E., Sweney, J., Aguayo, C., Myrick, C., Matheny Antommaria, A. y Bratton, S., (2015). Pediatric Organ Donation Potential at a Children’s Hospital. Pediatric Critical Care Medicine, 16(9), 814-820. https://doi.org/10.1097/PCC.0000000000000526

Glazier, A. K. y Capron, A. M. (2022). Normotermic regional perfusion and US legal standarts for determining death are not aligned. American Journal of Transplantation, 22(5), 1289-1290. https://doi.org/10.1111/ajt.17002

Gómez, F., Arnáez, J. y Caserío, S. (2017). La donación en asistolia controlada (tipo III de Maastrich) en pediatría. Acta Pediátrica Española, 75(5-6), e61-67.

Martínez-Urionabarrenetxea, K. (2008). Bioética y trasplante de órganos. Diálisis y Trasplante, 29(3), 116-124. https://doi.org/10.1016/S1886-2845(08)72170-2

Portillo, S. M. (2009). Consideraciones Bioéticas para el trasplante de órganos. Revista de Ciencias Forenses de Honduras, 5(1), 30-34. https://doi.org/10.5377/rcfh.v5i1.8719

Rodríguez-Arias, D., Wright, L. y Paredes, D. (2010). Succes factors and ethical challenges of the Spanish Model of organ donation. The Lancet, 376(9746), 1109-12. https://doi.org/10.1016/S0140-6736(10)61342-6

Rodriguez-Núñez, A. y Pérez Blanco, A. (2021). Recomendaciones Nacionales sobre donación pediátrica. Respuesta de los autores. Anales de Pediatría, 94(6), 430. https://doi.org/10.1016/j.anpedi.2020.10.005

Smith, M., Dominguez-Gil, B., Greer, D. M., Manara, A. R. y Souter, M. J. (2019). Organ donation after circulatory death: current status and future potential. Intensive Care Medicine, 45(3), 310-321. https://doi.org/10.1007/s00134-019-05533-0

Thomas Bein, T., Combes A. y Meyfroidt, G. (2021). Organ donation after controlled cardiocirculatory death: confidence by clarity. Intensive Care Medicine, 47, 325-327 https://doi.org/10.1007/s00134-021-06362-w

Tomlinson, C. y Hellmann, J. (2016). The Newborn as organ donor. En R. A. Greenberg, A. M. Goldberg y D. Rodríguez-Arias (eds.), Ethical Issues in Pediatric Organ Transplantation (pp. 119-30). Springer International Publishing Switzerland. https://doi.org/10.1007/978-3-319-29185-7_7

Thuong, M., Ruiz, A., Evrad, P., Kuiper, M., Boffa, C., Akhtar, M., Neuberger, J. y Ploeg, P. (2016). New classification of donation after circulatory death donors definitions and terminology. Trasplant International, 29(7), 749-59. https://doi.org/10.1111/tri.12776

Wall, A. E., Fiedler, A., Shah A. y Testa, G. (2022). Appliying the ethical framework for donation after circulatory death to thoracic normothermic regional perfusion procedures. American Journal of Trasplantation, 22(5), 1311-1315. https://doi.org/10.1111/ajt.16959

Weiss, M. J., Hornby, L., Rochwerg, B., van Manen, M., Dhanani, S., Sivarajan, V. B., Appleby, A., Bennett, M., Buchman, D., Farrell, C., Goldberg, A., Greenberg, R., Singh, R., Nakagawa, T. A., Witteman, W., Barter, J., Beck, A., Coughlin, K., Conradi, A., Cupido, C., Dawson, R., Dipchand, A., Freed, D., Hornby, K., Langlois, V., Mack, C., Mahoney, M., Manhas, D., Tomlinson, C., Zavalkoff, S. y Shemie, S. (2017). Canadian Guidelines for Controlled Pediatric Donation After Circulatory Determination of Death-Summary Report. Paediatric Critical Care Medicine, 18(11), 103546. https://doi.org/10.1097/PCC.0000000000001322

donación pediatría

Published

2022-10-27

How to Cite

Montero Cebrián, M. T., Martino Alba, R. J., Rodríguez Martínez, E. M., Rodríguez Martínez, C., & Rodríguez Montero, E. (2022). Bioethical Aspects of Donation in Controlled Asystole in Paediatrics (I). Revista Iberoamericana De Bioética, (20), 1–16. https://doi.org/10.14422/rib.i20.y2022.008