Asunto(s)
Trasplante de Médula Ósea , COVID-19 , Criopreservación/tendencias , Trasplante de Células Madre Hematopoyéticas , Pandemias , SARS-CoV-2 , Conservación de Tejido/tendencias , Obtención de Tejidos y Órganos/organización & administración , Citas y Horarios , Trasplante de Médula Ósea/efectos adversos , COVID-19/prevención & control , Factores de Confusión Epidemiológicos , Bases de Datos Factuales , Selección de Donante , Supervivencia de Injerto , Enfermedad Injerto contra Huésped/etiología , Enfermedad Injerto contra Huésped/prevención & control , Trasplante de Células Madre Hematopoyéticas/efectos adversos , Humanos , Donantes de Tejidos/ética , Donantes de Tejidos/psicología , Donantes de Tejidos/provisión & distribución , Obtención de Tejidos y Órganos/métodos , Trasplante Homólogo , Transportes , Resultado del Tratamiento , Estados Unidos , VoluntariosRESUMEN
Despite being an international reference in donation and transplantation, Spain needs to improve pediatric donation, including donation after the circulatory determination of death. The present article, a summary of the consensus report prepared by the Organización Nacional de Trasplantes and the Spanish Pediatrics Association, intends the facilitation of donation procedures in newborns and children and the analysis of associated ethical dilemma. The ethical basis for donation in children, the principles of clinical assessment of possible donors, the criteria for the determination of death in children, intensive care management of donors, basic concepts of donation after the circulatory determination of death and the procedures for donation in newborns with severe nervous system's malformation incompatible with life, as well as in children receiving palliative care are commented. Systematically considering the donation of organs and tissues when a child dies in conditions consistent with donation is an ethical imperative and must become an ethical standard, not only because of the need of organs for transplantation, but also to ensure family centered care.