Legal and organizational aspects of organ donation after irreversible cardiac arrest
Abstract
Sudden cardiac arrest is a challenge for medical personnel. Donation after circulatory death (DCD) has
opened new perspectives and could be a valuable option to expand the brain-dead donors. The purpose
of this review is to provide an overview of current legal and organizational aspects of organ donation after
irreversible cardiac arrest. The article presents basic issues related to the epidemiology of sudden cardiac
arrest, criteria for the diagnosis of irreversible cardiac arrest. It also discusses special situations related to
cardiac arrest and determining irreversible cardiac arrest in practice. Much attention has been paid to donor
organ transplantation after irreversible cardiac arrest in the context of scientific research. This article
aimed to present the Polish statutory and administrative regulations concerning donation after circulatory
death. Following the 2010 Minister of Health’s Notice on Criteria and Methods of Determining Irreversible
Cardiac arrest, it should be stated that it legally allows for all types of donation included in the Mastricht
classification.
Keywords: irreversible cardiac arresttransplantationorgan conditioninglegal actcardiopulmonary resuscitation
References
- An Amending Act. BMJ. 1948; 1(4553): 694–695.
- An Amending Act. BMJ. 1948; 1(4553): 694–695.
- Sahay M. Transplantation of human organs and tissues act. Indian Journal of Transplantation. 2020; 14(2): 188.
- The announcement by the Speaker of the Sejm of the Republic of Poland of 14 June 2019 on the announcement of the consolidated text of the Act on the collection, storage and transplantation of cells, tissues and organs. Journal of Laws. ; 2019: item.
- Miller FG, Truog RD, Brock DW. The dead donor rule: can it withstand critical scrutiny? J Med Philos. 2010; 35(3): 299–312.
- Rodríguez-Arias D. The Dead Donor Rule as Policy Indoctrination. Hastings Cent Rep. 2018; 48 Suppl 4: S39–S42.
- Thuong M, Ruiz A, Evrard P, et al. New classification of donation after circulatory death donors definitions and terminology. Transpl Int. 2016; 29(7): 749–759.
- Manara A, Domínguez-Gil B. Controlling the uncontrolled: Can we realise the potential of uncontrolled donation after circulatory death? Resuscitation. 2019; 137: 234–236.
- WHO – The top 10 causes of death - Fact sheet. Updated January 2017. http://www.who.int/mediacentre/factsheets/fs310/en/. [Accessed 1 July. ; 2020.
- Elmer J, Torres C, Aufderheide TP, et al. Resuscitation Outcomes Consortium. Association of early withdrawal of life-sustaining therapy for perceived neurological prognosis with mortality after cardiac arrest. Resuscitation. 2016; 102: 127–135.
- Announcement. Zygon®. 2010; 45(3): 784–784.
- Act of 1 July 2005 on the collection, storage and transplantation of cells, tissues and organs. Journal of Laws 2005 No. ; 169: item.
- Brain Death Criteria. Acute Stroke Care. 2019: 262–265.
- Smereka J, Szarpak L, Czekajlo M, et al. The TrueCPR device in the process of teaching cardiopulmonary resuscitation: A randomized simulation trial. Medicine (Baltimore). 2019; 98(27): e15995.
- Truszewski Z, Szarpak L, Kurowski A, et al. Randomized trial of the chest compressions effectiveness comparing 3 feedback CPR devices and standard basic life support by nurses. Am J Emerg Med. 2016; 34(3): 381–385.
- Hawkes GA, Finn D, Kenosi M, et al. A Randomized Controlled Trial of End-Tidal Carbon Dioxide Detection of Preterm Infants in the Delivery Room. J Pediatr. 2017; 182: 74–78.e2.
- Soar J, Nolan JP, Böttiger BW, et al. Adult advanced life support section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 3. Adult advanced life support. Resuscitation. 2015; 95: 100–147.
- Maconochie IK, Bingham R, Eich C, et al. Paediatric life support section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 6. Paediatric life support. Resuscitation. 2015; 95: 223–248.
- Link MS, Berkow LC, Kudenchuk PJ, et al. Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015; 132(18 Suppl 2): S444–S464.
- de Caen AR, Berg MD, Chameides L, et al. Part 12: Pediatric Advanced Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care (Reprint). Pediatrics. 2015; 136 Suppl 2(18 Suppl 2): S176–S195.
- Nakatani K, Yukioka H, Fujimori M, et al. Utility of colorimetric end-tidal carbon dioxide detector for monitoring during prehospital cardiopulmonary resuscitation. The American Journal of Emergency Medicine. 1999; 17(2): 203–206.
- The Code of Medical Ethics. Kennedy Institute of Ethics Journal. 1992; 2(4): 371–384.
- Lavonas EJ, Drennan IR, Gabrielli A, et al. Part 10: Special Circumstances of Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015; 132(18 Suppl 2): S501–S518.
- Rubio Muñoz JJ, Dominguez-Gil González B, Miñambres García E, et al. Role of normothermic perfusión with ECMO in donation after controlled cardiac death in Spain. Med Intensiva. 2020 [Epub ahead of print].
- Kukreja J, Tsou S, Chen J, et al. Risk Factors and Outcomes of Extracorporeal Membrane Oxygenation as a Bridge to Lung Transplantation. Semin Thorac Cardiovasc Surg. 2020 [Epub ahead of print].
- Manyalich M, Nelson H, Delmonico FL. The need and opportunity for donation after circulatory death worldwide. Curr Opin Organ Transplant. 2018; 23(1): 136–141.
- Puślecki M, Ligowski M, Dąbrowski M, et al. "ECMO for Greater Poland": a unique regional program for extracorporeal life support. Pol Arch Intern Med. 2017; 127(7-8): 567–568.
- Puślecki M, Ligowski M, Stefaniak S, et al. "Extracorporeal Membrane Oxygenation for Greater Poland" Program: How to Save Lives and Develop Organ Donation? Transplant Proc. 2018; 50(7): 1957–1961.
- Broderick AR, Manara A, Bramhall S, et al. A Donation After Circulatory Death Program Has the Potential to Increase the Number of Donors After Brain Death. Crit Care Med. 2016; 44(2): 352–359.
- van Dijk G, van Bruchem-Visser R, de Beaufort I. Organ donation after euthanasia, morally acceptable under strict procedural safeguards. Clin Transplant. 2018; 32(8): e13294.