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[Intensive care to facilitate organ donation. ONT-SEMICYUC recommendations].

Authors :: Escudero Augusto D
Martínez Soba F
de la Calle B
Pérez Blanco A
Estébanez B
Velasco J
Sánchez-Carretero MJ
Pont T
Pérez Villares JM
Masnou N
Martín Delgado MC
Coll E
Perojo D
Uruñuela D
Domínguez-Gil B
Source :: Medicina intensiva [Med Intensiva (Engl Ed)] 2021 May; Vol. 45 (4), pp. 234-242. Date of Electronic Publication: 2019 Nov 15.
Publication Year :: 2021
Abstract: Intensive care to facilitate organ donation (ICOD) is defined as the initiation or continuation of life-sustaining measures, such as mechanical ventilation, in patients with a devastating brain injury with high probability of evolving to brain death and in whom curative treatment has been completely dismissed and considered futile. ICOD incorporates the option to organ donation allowing a holistic approach to end-of-life care, consistent with the patients wills and values. Should the patient not evolve to brain death, life-supportive treatment must be withdrawal and controlled asystolia donation could be evaluated. ICOD is a legitimate practice, within the ethical and legal regulations that contributes increasing the accessibility of patients to transplantation, promoting health by increasing deceased donation by 24%, and with a mean of 2.3 organs transplanted per donor, and collaborating with the sustainability of health-care system. This ONT-SEMICYUC recommendations provide a guide to facilitate an ICOD harmonized practice in spanish ICUs.<br /> (Copyright © 2019. Publicado por Elsevier España, S.L.U.)