Abstract
During the last several decades physicians and the public have needed urgent changes in the legal codes for accepting brain death (BD) as death, in order to obtain organs from heart-beating donors. As transplantation has become increasingly more effective, the demand for organs has outpaced the supply. Patients in need of organ transplants are dying needlessly because of the paucity of organs. The needs of tissues and organs for treatment through transplantation and the demand for organs quickly outpaced the supply; consequently, it became evident that standards and priorities needed to be established in order to allocate the increasingly scarce number of organs for transplantation. The transplant community continues to grapple with the organ-sharing shortage, to find new and inventive ways to increase the donor pool, and to allocate organs in a fair and equitable way based on sound scientific decision making, while enhancing the science of transplantation. The “dead donor rule” requires that donors must first be declared dead.1–9
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References
Shewmon DA. The dead donor rule: lessons from linguistics? Kennedy Inst Ethics J. 2004;14:277–300.
Veatch RM. Abandon the dead donor rule or change the definition of death? Kennedy Inst Ethics J. 2004;14:261–276.
Crowley-Matoka M, Arnold RM. The dead donor rule: how much does the public care⋯ and how much should we care? Kennedy Inst Ethics J. 2004;14:319–332.
Fost N. Reconsidering the dead donor rule: is it important that organ donors be dead? Kennedy Inst Ethics J. 2004;14:249–260.
Veatch RM. The dead donor rule: true by definition. Am J Bioeth. 2003;3:10–11.
Siminoff LA. The dead donor rule: not dead yet. Am J Bioeth. 2003;3:30.
Shelton W. Respect for donor autonomy and the dead donor rule. Am J Bioeth. 2003;3:20–21.
Pasquerella L, Smith S, Ladd R. Infants, the dead donor rule, and anencephalic organ donation: should the rules be changed? Med Law. 2001;20:417–423.
Robertson JA. The dead donor rule. Hastings Cent Rep. 1999;29:6–14.
Bernat JL. Ethical and legal aspects of the emergency management of brain death and organ retrieval. Emerg Med Clin North Am. 1987;5:661–676.
Bernat JL, D'Alessandro AM, Port FK et al. Report of a national conference on donation after cardiac death. Am J Transplant. 2006;6:281–291.
Bernat JL. Philosophical and Ethical Aspects of Brain Death. In: Wijdicks EFM, ed. Brain Death. Philadelphia: Lippincott Williams & Wilkins, 2001:171–88.
Machado C. [Resolution for the determination and certification of death in Cuba]. Rev Neurol. 2003;36:763–770.
van Deynse D, Dumont V, Lecomte C et al. Non-heart-beating donor, renewal of an old procedure: a Belgian experience. Transplant Proc. 2005;37:2821–2822.
Randhawa G. Procuring organs for transplantation—a European perspective. Eur J Public Health. 1998;8:299–304.
Spital A. Consent for organ donation: today and tomorrow. Semin Dial. 1993;6:264–267.
Nys H. Therapeutic use of human organs and tissues under Belgian law. Med Law. 1993;12:131–135.
Toussaint C. The new act regulating organ retrieval for transplantation in Belgium. Contrib Nephrol. 1989;71:141–144.
Nojszewska M. [Determination of brain death]. Neurol Neurochir Pol. 2002;36: 91–104.
Andres J, Macheta A. [Persistent vegetative state: medical, moral, legal and economic aspects]. Folia Med Cracov. 1998;39:73–77.
Lao M, Rowinski W, Walaszewski J, Szmidt J. Renal transplantation in Warsaw: a registry report. Transplant Proc. 1996;28:3497–3503.
Michalak G, Danielewicz R, Ostrowski K, Barcikowska B, Walaszewski JE, Rowinski WA. Is the decreased number of renal transplants in Warsaw caused by a shortage of potential organ donors?: an analysis of hospital deaths in Warsaw in 1993. Transplant Proc. 1996;28:270–271.
Rowinski W, Ostrowski K, Adadynski L et al. Factors limiting renal transplantation program in Poland. Ann Transplant. 1996;1:18–22.
Baran E, Sych M. [Medico-legal circumstances of organ transplantation in Poland (history and present state)]. Przegl Lek. 1996;53:883–885.
Rowinski WA, Walaszewski J, Madej K, Szmidt J, Lao M. Demand and supply of kidneys for transplantation in Poland. Transplant Proc. 1993;25:3129.
Sych M. [Committee of Medical Sciences of the Polish Academy of Sciences in Cracow. Report on a closed session entitled: “Criteria of sudden intravital brain death” and held on December 17, 1974]. Folia Med Cracov. 1976;18:311–314.
Pena JR. [Kidney transplant: the current situation in Portugal, 1989]. Acta Med Port. 1989;suppl 2:S11–S15.
Uniform determination of Death Act. Conn Med. 1982;46:259–260.
Recommendations for use of uniform nomenclature pertinent to patients with severe alterations in consciousness. American Congress of Rehabilitation Medicine. Arch Phys Med Rehabil. 1995;76:205–209.
Day L. Practical limits to the Uniform Determination of Death Act. J Neurosurg Nurs. 1995;27:319–322.
Determination of death (Uniform Determination of Death Act of 1981); natural death (Natural Death Act of 1981). Lexis DC Code DC. 1982;Sect. 6.2401 6.2421 to 6.2430 amended Feb 1982:Unknown.
Abram MB. The need for uniform law on the determination of death. NY Law Sch Law Rev. 1982;27:1187–1205.
National Organ Transplant Act: Public Law 98–507. US Statut Large. 1984;98:2339–2348.
Adams RK. Live organ donors and informed consent. A difficult minuet. J Leg Med. 1987;8:555–586.
McDonald JC. The National Organ Procurement and Transplantation Network. JAMA. 1988;259:725–726.
Arpesella G, Gherardi S, Bombardini T, Picano E. Recruitment of aged donor heart with pharmacological stress echo. A case report. Cardiovasc Ultrasound. 2006;4:3.
Asano Y, Ashikari J. [Report from the Japan organ transplant network]. Nippon Jinzo Gakkai Shi. 2005;47:517–523.
Perez-Tamayo R. [The law, the medical ethic, and the transplants]. Rev Invest Clin. 2005;57:170–176.
Hattori M, Iwaki Y. [Organs shortage in the United States]. Nippon Rinsho. 2005;63:1888–1897.
Muller C, Vernet D, Moretti D, Klinger S, Vernet JP. [Organ donation in Switzerland]. Ther Umsch. 2005;62:437–442.
Monnier M, Weber T. [The Transplantation Law of October 8, 2004]. Ther Umsch. 2005;62:433–435.
Dimond B. Law concerning organ transplants and dead donors in the UK. Br J Nurs. 2005;14:47–48.
Murray JE. The first successful organ transplants in man. J Am Coll Surg. 2005;200:5–9.
Slooff MJ, Kazemier G. [Liver transplantation from a living donor]. Ned Tijdschr Geneeskd. 2004;148:2257–2259.
Peron AL, Rodrigues AB, Leite DA et al. Organ donation and transplantation in Brazil: university students' awareness and opinions. Transplant Proc. 2004;36:811–813.
Machado C. A definition of human death should not be related to organ transplants. J Med Ethics. 2003;29:201–202.
Nemec P. [Ethical questions in organ transplantation]. Vnitr Lek. 2002;48:667–670.
Bechstein WO, Wullstein C. [Transplantation and outcome quality]. Chirurg. 2002;73:576–581.
Luna-Zaragoza D, Reyes-Frias ML. Donation transplants and tissue banking in Mexico. Cell Tissue Bank. 2001;2:255–259.
Jennett B. Transplants—are the donors really dead? Br Med J. 1980;281:1423–1424.
Machado C. Determination of death. Acta Anaesthesiol Scand. 2005;49:592–593.
Machado C, Abeledo M, Alvarez C et al. Cuba has passed a law for the determination and certification of death. Adv Exp Med Biol. 2004;550:139–142.
Machado C, Garcia OD, Gutierrez J, Portela L, Garcia MC. Heart rate variability in comatose and brain-dead patients. Clin Neurophysiol. 2005;116:2859–2860.
Machado-Curbelo C. [Do we defend a brain oriented view of death?]. Rev Neurol. 2002;35:387–396.
Machado C. Consciousness as a definition of death: its appeal and complexity. Clin Electroencephalogr. 1999;30:156–164.
Ley No. 59 del 16 de Julio de 1987 (Codigo Civil). Edicion Extraordinaria no. 9. Gaceta Oficial de la Republica de Cuba. Ciudad de La Habana: Ministerio de Justicia, 1987:39–81.
Resolucion no. 90 de Salud Publica. Edicion Ordinaria del 21 de Septiembre del 2001. Ciudad de La Habana: Ministerio de Justicia, 2001.
Machado C, García OD. Guidelines for the determination of brain death. In: Machado C, ed. Brain Death (Proceedings of the Second International Symposium on Brain Death). Amsterdam: Elsevier Science BV, 1995:75–80.
Machado C. Is the concept of brain death secure? In: Zeman A, Enamorado A, eds. Ethical Dilemmas in Neurology. London: WB Saunders, 2000:193–212.
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Machado, C. (2007). Legal Considerations on the Determination and Certification of Human Death. In: Brain Death. Springer, New York, NY. https://doi.org/10.1007/978-0-387-38977-6_9
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