Report of a National Conference on Donation after Cardiac Death
Article first published online: 19 JAN 2006
American Journal of Transplantation
Volume 6, Issue 2, pages 281–291, February 2006
How to Cite
Bernat, J.L., D'Alessandro, A.M., Port, F.K., Bleck, T.P., Heard, S.O., Medina, J., Rosenbaum, S.H., DeVita, M.A., Gaston, R.S., Merion, R.M., Barr, M.L., Marks, W.H., Nathan, H., O'Connor, K., Rudow, D.L., Leichtman, A.B., Schwab, P., Ascher, N.L., Metzger, R.A., Mc Bride, V., Graham, W., Wagner, D., Warren, J. and Delmonico, F.L. (2006), Report of a National Conference on Donation after Cardiac Death. American Journal of Transplantation, 6: 281–291. doi: 10.1111/j.1600-6143.2005.01194.x
- Issue published online: 19 JAN 2006
- Article first published online: 19 JAN 2006
- Received 25 July 2005, revised and accepted for publication 24 October 2005
- Deceased organ donation
A national conference on organ donation after cardiac death (DCD) was convened to expand the practice of DCD in the continuum of quality end-of-life care.
This national conference affirmed the ethical propriety of DCD as not violating the dead donor rule. Further, by new developments not previously reported, the conference resolved controversy regarding the period of circulatory cessation that determines death and allows administration of pre-recovery pharmacologic agents, it established conditions of DCD eligibility, it presented current data regarding the successful transplantation of organs from DCD, it proposed a new framework of data reporting regarding ischemic events, it made specific recommendations to agencies and organizations to remove barriers to DCD, it brought guidance regarding organ allocation and the process of informed consent and it set an action plan to address media issues.
When a consensual decision is made to withdraw life support by the attending physician and patient or by the attending physician and a family member or surrogate (particularly in an intensive care unit), a routine opportunity for DCD should be available to honor the deceased donor's wishes in every donor service area (DSA) of the United States.