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恢复整个生物体:NRP是否能复活死者?

Emil J N Busch¹

¹University of Oslo.

The American journal of bioethics : AJOB

|June 3, 2024

概括

在循环死亡确定 (cDCDD) 后的受控捐赠中,正常热区域输液 (NRP) 不会否定死亡确定. 恢复NRP的循环并不能使捐赠者恢复生命,维护着伦理的器官捐献实践.

科学领域:

医学伦理医学伦理
器官移植器官移植
心肺生理学心肺生理学

背景情况:

循环死亡确定后的受控捐赠 (cDCDD) 协议越来越多地用于器官采购.
在cDCDD中引入常温区域输液 (NRP) 是在伦理上争论的,人们担心可能会扭转死亡确定.
反对者担心,通过NRP恢复血液循环可能会否定死亡的循环标准,导致捐赠者复苏.

研究的目的:

为了解决围绕正常热区域输液 (NRP) 在循环死亡确定后的受控捐赠 (cDCDD) 的伦理问题.
为了澄清,在cDCDD协议中与NRP重建循环并不否定死亡的确定.
论证NRP不会导致捐赠者的复苏,从而支持其在器官捐赠中的伦理使用.

主要方法:

基于循环标准对死亡定义的概念分析.
在cDCDD的背景下检查循环死亡确定目的.
对NRP对确定死亡的生理影响的评估.

主要成果:

确定死亡的循环标准旨在确定整个生物体的功能停止.
这一标准在cDCDD协议中仍然有效,即使应用了NRP.
NRP不会扭转已确定的死亡决定,也不会使捐赠者恢复生命.

结论:

常温区域输液 (NRP) 符合循环死亡确定后控制捐赠 (cDCDD) 的伦理和医疗原则.
应用NRP并不会使基于循环标准的死亡确定无效.
在cDCDD协议中,NRP可以在道德上使用,而不会影响死亡的定义或冒着捐赠者复苏的风险.

关键词:

在循环决定死亡后进行受控捐赠.在NRP中使用NRP.伦理学伦理伦理学常温区域 perfusion 区域 perfusion 是一个常温区域 perfusion 系统.器官移植器官移植器官移植器官移植这是死亡的概念.已经死亡的捐赠者规则.

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