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Kidneys for sale
169
Kidneys for sale Phillips, M. St. Vincent’s Medical Center of Richmond, Luncet i (1989) 559
Staten Island, NY 10310, U.S.A.
The desperate case: CARE (costs, applicability, Moore, F.D. Harvard Medical School, Boston, MA, U.S.A. J. Am. Med. Assoc. 261/10 (1990) 1483-1484
research, ethics)
Ethics and organ transplantation in children Royer, P. Centre International & l’Enfa.nce, Chateau de Longchamp, Arch. Fr. Pediatr. 45/Suppl. 1 (1988) 773-774
Bois de Boulogne, 75016 Paris, France.
Kidney for sale by live donor Brahams, D. Lmcet i (1989) 285-286
The neurologist’s role in transplantation medicine Kascha, S. and Barolin, G.S. Neurologische Abteilung, Ian&s-Nervenkrankenhaus Valduna, A-6830 Rankweil, Austria Wien Med. Wochenschr. 138/23-24 (1988) 617-621 The neurological committee in the transplantational team not only has got to determine the exact physical point of death but also has to integrate the whole environment especially in having precise talks with intensive care staff and relatives. This procedure requires knowledge in law as well as tact and a specific medical training in this sort of conversation. The three major issues for determining the point of death should remain together as they used to, i.e., clinic plus zero wave EEG plus angiography. This fact is stressed by 12% of patients being ‘problematic cases’ within a number of 50 patients who have been seen by us and considered for transplantation. In those 12% there were discrepancies in the three major criterias. Therefore we are not confirmed with today’s tendency in which mere angiography suffices as criteria of the point of death. The above all existing ethical principle which permits to take away organs only after the death of the brain may not be confused with an unfavourable prognosis. The inclining need of organs for tmnsplantations should be prevented through a time spending and exact determination of the point of death. Better and ubiquitous organisation of transplantational teams is required - although exact criteria have to be obeyed - in order not to lose precious organs, which can still happen in hospitals, whereas patients in need of transplantation painfully await them, respectively, still die without them. In this complexity the neurological cooperation in the transplantational committee is an activity which requires high skills, time and exactness but, despite all effort offers satisfying and meaningful work.
A nursing perspective of the ethical issues surrounding liver transplantation Ornery, A. and Caswell, D. School of Nursing, Medical-Surgical Section, University of California, Los Angeles, CA 900241702, U.S.A. Heart Lung 17/6 I (1988) 626-631 Nurses who care for patients undergoing liver transplantation increasingly face a variety of ethical
Kidneys for sale Phillips, M. St. Vincent’s Medical Center of Richmond, Luncet i (1989) 559
Staten Island, NY 10310, U.S.A.
The desperate case: CARE (costs, applicability, Moore, F.D. Harvard Medical School, Boston, MA, U.S.A. J. Am. Med. Assoc. 261/10 (1990) 1483-1484
research, ethics)
Ethics and organ transplantation in children Royer, P. Centre International & l’Enfa.nce, Chateau de Longchamp, Arch. Fr. Pediatr. 45/Suppl. 1 (1988) 773-774
Bois de Boulogne, 75016 Paris, France.
Kidney for sale by live donor Brahams, D. Lmcet i (1989) 285-286
The neurologist’s role in transplantation medicine Kascha, S. and Barolin, G.S. Neurologische Abteilung, Ian&s-Nervenkrankenhaus Valduna, A-6830 Rankweil, Austria Wien Med. Wochenschr. 138/23-24 (1988) 617-621 The neurological committee in the transplantational team not only has got to determine the exact physical point of death but also has to integrate the whole environment especially in having precise talks with intensive care staff and relatives. This procedure requires knowledge in law as well as tact and a specific medical training in this sort of conversation. The three major issues for determining the point of death should remain together as they used to, i.e., clinic plus zero wave EEG plus angiography. This fact is stressed by 12% of patients being ‘problematic cases’ within a number of 50 patients who have been seen by us and considered for transplantation. In those 12% there were discrepancies in the three major criterias. Therefore we are not confirmed with today’s tendency in which mere angiography suffices as criteria of the point of death. The above all existing ethical principle which permits to take away organs only after the death of the brain may not be confused with an unfavourable prognosis. The inclining need of organs for tmnsplantations should be prevented through a time spending and exact determination of the point of death. Better and ubiquitous organisation of transplantational teams is required - although exact criteria have to be obeyed - in order not to lose precious organs, which can still happen in hospitals, whereas patients in need of transplantation painfully await them, respectively, still die without them. In this complexity the neurological cooperation in the transplantational committee is an activity which requires high skills, time and exactness but, despite all effort offers satisfying and meaningful work.
A nursing perspective of the ethical issues surrounding liver transplantation Ornery, A. and Caswell, D. School of Nursing, Medical-Surgical Section, University of California, Los Angeles, CA 900241702, U.S.A. Heart Lung 17/6 I (1988) 626-631 Nurses who care for patients undergoing liver transplantation increasingly face a variety of ethical