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Puybasset L, Bazin JE, Beloucif S, Bizouarn P, Crozier S, Devalois B, Eon B, Fieux F, Gisquet E, Guibet-Lafaye C, Kentish N, Lienhart A, Nicolas-Robin A, Otero Lopez M, Pelluchon C, Roussin F, Beydon L. Critical appraisal of organ procurement under Maastricht 3 condition. ACTA ACUST UNITED AC 2014; 33:120-7. [PMID: 24406262 DOI: 10.1016/j.annfar.2013.11.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
The ethics committee of the French Society of Anesthesia and Intensive Care (Sfar) has been requested by the French Biomedical Agency to consider the issue of organ donation in patients after the decision to withdraw life-supportive therapies has been taken. This type of organ donation is performed in the USA, Canada, the United Kingdom, the Netherlands and Belgium. The three former countries have published recommendations formalizing procedures and operations. The French Society of Anesthesia and Intensive Care (Société française d'anesthésie et de reanimation [Sfar]) ethics committee has considered this issue and envisioned the different aspects of the whole process. Consequently, it sounded a note of caution regarding the applicability of this type of organ procurement in unselected patients following a decision to withdraw life-supportive therapies. According to French regulations concerning organ procurement in brain-dead patients, the committee stresses the need to restrict this specific way of procurement to severely brain-injured patients, once confirmatory investigations predicting a catastrophic prognosis have been performed. This suggests that the nature of the confirmatory investigation required should be formalized by the French Biomedical Agency on behalf of the French parliamentarians, which should help preserve population trust regarding organ procurement and provide a framework for medical decision. This text has been endorsed by the Sfar.
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Affiliation(s)
- L Puybasset
- Unité de neuro-anesthésie-réanimation, groupe hospitalier Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France
| | - J-E Bazin
- Département d'anesthésie-réanimation, Hôtel-Dieu, boulevard Léon-Malfreyt, BP 69, 63003 Clermont-Ferrand cedex, France
| | - S Beloucif
- Service d'anesthésie-réanimation, hôpital Avicenne, 125, rue de Stalingrad, 93009 Bobigny cedex, France
| | - P Bizouarn
- Département-service d'anesthésie-réanimation, hôpital Laënnec, CHU de Nantes, boulevard Jacques-Monod, BP 1005, 44093 Nantes cedex 1, France
| | - S Crozier
- Service de neurologie, groupe hospitalier Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France
| | - B Devalois
- Service de médecine palliative, centre hospitalier René-Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France
| | - B Eon
- Département d'anesthésie-réanimation, hôpital Sainte-Marguerite, BP 29, 13274 Marseille cedex 9, France
| | - F Fieux
- Département d'anesthésie-réanimation, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75745 Paris cedex 10, France
| | - E Gisquet
- Centre de sociologie des organisations, 19, rue Amélie, 75007 Paris, France
| | - C Guibet-Lafaye
- Centre Maurice-Halbwachs-CNRS, 48, boulevard Jourdan, 75014 Paris, France
| | - N Kentish
- Groupe de recherche FAMIREA, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75745 Paris cedex 10, France
| | - A Lienhart
- Département d'anesthésie-réanimation, hôpital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75571 Paris cedex 12, France
| | - A Nicolas-Robin
- Département d'anesthésie-réanimation, hôpital de la Pitié-Salpêtrière, boulevard de l'Hôpital, 75013 Paris, France
| | - M Otero Lopez
- Département d'anesthésie-réanimation, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75908 Paris cedex 15, France
| | - C Pelluchon
- Département de philosophie, université de Poitiers, 36, rue de la Chaîne, 86022 Poitiers, France
| | - F Roussin
- Département d'anesthésie-réanimation, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75745 Paris cedex 10, France
| | - L Beydon
- Pôle d'anesthésie-réanimation, centre hospitalier universitaire, 4, rue Larrey, 49033 Angers cedex 01, France. lbeydon.angers.@invivo.edu
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