Mandell M Susan, Taylor Gloria J, D'Alessandro Anthony, McGaw Lin J, Cohen Edmond
Department of Anesthesiology, University of Colorado Health Sciences Center, Denver, CO 80262, USA.
Liver Transpl. 2003 Oct;9(10):1120-3. doi: 10.1053/jlts.2003.50189.
The number of organs recovered from asystolic donors is less than anticipated and is explained partially by negative attitudes held by health care providers. To understand the reasons for these beliefs and find solutions, the United Network for Organ Sharing under contract with the Department of Health and Human Services convened the Intraoperative Advisory Council on Donation After Cardiac Death in September, 2001. The Council found that, unlike other medical specialties, operating room health care providers were uncertain of their roles and duties in the care of donors declared dead with cardiopulmonary criteria, known as donation after cardiac death. They were reluctant to care for terminally ill patients in whom death was an expected outcome. Council members deliberated these issues, seeking solutions to repatriate operating room health care providers with the national effort to provide reliable and compassionate care to organ donors and their families. The Council requested the construction of practice guidelines, believing that the structure provided by guidelines will improve health provider confidence in donation after cardiac death and thus improve the quality of care. Physician and nonphysician health care providers from the operating room met to create the Guidelines for the United Network for Organ Sharing, which they believe will improve the quality of care of asystolic organ donors.
从心跳停止的供体获取的器官数量少于预期，部分原因是医护人员持消极态度。为了解这些观念产生的原因并找到解决办法，与卫生与公众服务部签约的器官共享联合网络于2001年9月召集了心脏死亡后器官捐献术中咨询委员会。该委员会发现，与其他医学专业不同，手术室医护人员不确定他们在照顾符合心肺标准宣布死亡的供体（即心脏死亡后器官捐献）中的角色和职责。他们不愿照顾那些预期会死亡的绝症患者。委员会成员审议了这些问题，寻求解决办法，以使手术室医护人员重新参与到全国为器官捐献者及其家属提供可靠且富有同情心的护理的努力中来。委员会要求制定实践指南，认为指南提供的框架将增强医护人员对心脏死亡后器官捐献的信心，从而提高护理质量。来自手术室的医生和非医生医护人员会面，制定了器官共享联合网络指南，他们相信这将提高心跳停止器官供体的护理质量。
