Campbell M L, Weber L J
Detroit Receiving Hospital, MI, USA.
Kennedy Inst Ethics J. 1995 Mar;5(1):35-42; discussion 43-9. doi: 10.1353/ken.0.0171.
Procurement of organs from non-heart-beating cadaver donors raises concerns. Standards for optimal patient care during withdrawal of life-sustaining therapy are evolving and continue to be debated and studied. Consensus on specific procedures and methods has not been attained, however, and protocols for the procurement of organs from patients following the withdrawal of life-sustaining therapies may compromise the evolving standards and harm the patient and the attendant family. In addition, there is little evidence to suggest that such protocols will significantly increase the number of organs procured. "Non-heart-beating cadaver" protocols that do not give comprehensive attention to optimal patient/family care at the time of withdrawal of life-sustaining therapy ought not to be endorsed.
从非心脏跳动尸体供体获取器官引发了诸多担忧。在撤除维持生命治疗期间提供最佳患者护理的标准正在不断发展,并且仍在进行辩论和研究。然而,尚未就具体程序和方法达成共识,而且在撤除维持生命治疗后从患者身上获取器官的方案可能会损害不断发展的标准,对患者及其家属造成伤害。此外,几乎没有证据表明此类方案会显著增加获取的器官数量。那些在撤除维持生命治疗时未全面关注患者/家属最佳护理的“非心脏跳动尸体”方案不应得到认可。