[National recommendations on pediatric donation]. / Recomendaciones nacionales sobre donación pediátrica.
An Pediatr (Engl Ed)
; 93(2): 134.e1-134.e9, 2020 Aug.
Article
in Spanish
| MEDLINE | ID: covidwho-627455
ABSTRACT
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.
Keywords
Adecuación de medidas terapéuticas; Asistolia controlada; Brain death; Children; Consentimiento informado; Cuidados centrados en la familia; Cuidados paliativos; Donación de órganos; Donation after the circulatory determination of death; Ethics; Family-centered care; Muerte encefálica; Neonatos; Newborns; Niños; Organ donation; Palliative care; Surrogate consent; Transplantation; Trasplante; Withholding and withdrawal of life sustaining measures; Ética
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Tissue Donors
/
Tissue and Organ Procurement
/
Organ Transplantation
Type of study:
Prognostic study
Limits:
Child
/
Humans
/
Infant, Newborn
Country/Region as subject:
Europa
Language:
Spanish
Journal:
An Pediatr (Engl Ed)
Year:
2020
Document Type:
Article
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