Why can't Igive you my organs after my heart has stopped beating?" An overview of the main clinical, organisational, ethical and legal issues concerning organ donation after circulatory death in Italy

Alberto Giannini, Massimo Abelli, Giampaolo Azzoni, Gianni Biancofiore, Franco Citterio, Paolo Geraci, Nicola Latronico, Mario Picozzi, Francesco Procaccio, Luigi Riccioni, Paolo Rigotti, Franco Valenza, Sergio Vesconi, Nereo Zamperetti

Research output: Contribution to journalArticlepeer-review

Abstract

Donation after circulatory death (DCD) is a valuable option for the procurement of functioning organs for transplantation. Clinical results are promising and public acceptance is quite good in most western countries. Yet, although DCD is widespread in Europe, several problems still persist in Italy as well as in some other countries. This paper aims to describe the main clinical, organisational, ethical and legal issues at stake, bearing in mind the particular situation created by Italian legislation. Currently, as regards DCD, Italy is somewhat different from other countries. Therefore, every effort should be made for the safe and effective implementation of DCD programs: uncontrolled DCD programs should be promoted and encouraged, within the framework of shared and authoritative rules. At the same time, we need to tackle the question of controlled DCD, promoting debate among all involved subjects regarding the fundamental issues of end-of-life care within protocols that best integrate the highest standard of care for the dying and the legitimate interests of those awaiting a life-saving organ.

Original languageEnglish
Pages (from-to)359-368
Number of pages10
JournalMinerva Anestesiologica
Volume82
Issue number3
Publication statusPublished - Mar 1 2016

Keywords

  • Ethics
  • Tissue and organ procurement
  • Transplantation

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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