Analysis of bioethical issues related to organ donation in controlled asystole programs

  • José Manuel Álvarez Avello Hospital Universitario Puerta de Hierro
  • José Antonio Santos Universidad Rey Juan Carlos

Abstract

Solid organs trasplant constitutes a treatment for many diseases in terminal phase. Patients subjected to this type of intervention enhance survival and quality of life in general and it is considered a beneficial progress in medicine for society. In the last decades and due to the stagnation of donations and the progressive increase of waiting lists, some actions have been developed with the goal to widen the potential number of donors, reconsidering again those coming from cardiovascular arrest
(asystole donors). The aim of this article consists in reflecting on the legitimacy of combining in the same process two complex ethical decisions: the withdrawal of life support techniques (WLST) and the limitation of therapeutic effort (LTE), and the possibility of considering these patients as organ donors. With this purpose, we will analyze the ethical problems involved in each step in decision making and on the actions taken by controlled asystole programs, according to the criteria of type III donors of Masstricht conference, 1995, as base to establish an ethical judgment for the process.
Keywords cardiac arrest, euthanasia, medical futility, life support systems, trasplant
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How to Cite
Álvarez Avello, J., & Santos, J. (2014). Analysis of bioethical issues related to organ donation in controlled asystole programs. Acta Bioethica, 20(1). Retrieved from https://actabioethica.uchile.cl/index.php/AB/article/view/31512/33282
Published
2014-05-26