• Ned Tijdschr Geneeskd · Dec 1998

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    [Kidney donation by a 'non-heart-beating' donor from an ethical perspective].

    • H B van Wezel, A J Hoitsma, J A van der Vliet, F A Kortmann, M F Verweij, and R A Koene.
    • Afd. Nierziekten, Academisch Ziekenhuis, Nijmegen.
    • Ned Tijdschr Geneeskd. 1998 Dec 26;142(52):2865-9.

    AbstractIn asystolic patients, kidney donation is possible by using a non-heart-beating (NHB) donation procedure. This involves in situ perfusion of the kidneys by inserting a catheter into the femoral artery and flushing cold fluid through the kidneys. The introduction of an NHB donation programme leads to ethical questions concerning the guarantees for prudent procedure: How should death of a patient be defined in case of NHB donation? Is there a strict separation of responsibilities of the medical teams in the different phases of the procedure (patient treatment and actual donation procedure)? Are sufficient attention and care given to the relatives? Does the NHB donation procedure not interfere with the care of a patient who is expected to die soon? Extensive discussion with the Medical Ethics Committee of the University Hospital Nijmegen, the Netherlands, has led to a protocol for NHB kidney donation that meets the required guarantees.

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