Sills Patty, Bair Holly A, Gates Liz, Janczyk Randy J
Department of Clinical Systems Improvement, William Beaumont Hospital, Royal Oak, MI, USA.
J Trauma Nurs. 2007 Jan-Mar;14(1):47-50. doi: 10.1097/01.JTN.0000264140.27428.ca.
Despite the increasingly positive outcome of organ transplantation as an accepted treatment of end-stage organ diseases, an average of 15 people die each day awaiting organ transplantation. According to the United Network for Organ Sharing, there are more than 90,000 people in the United States waiting for an organ transplant. In the United States, less than 1% of all deaths are attributed to brain death. A single brain-dead organ donor has the potential to save up to 8 individuals by donating organs and providing up to 50 people with tissue and cornea transplants. The reality is that the source of available brain-dead donors does not meet the needs of the growing waiting list. To help deal with the increasing demand for organs, donation after cardiac death has been reintroduced to families of patients with catastrophic brain injuries. Families have the right to be informed of all potential end-of-life options, including that of organ donation and the use of donation after cardiac death when appropriate. Hospitals and healthcare workers must be committed to provide the option of donation after cardiac death for both donor families and transplant recipients. The purpose of this article is to examine the process of implementing a donation after cardiac death policy in a 1,061-bed tertiary care hospital with level I trauma designation.
尽管器官移植作为终末期器官疾病的一种公认治疗方法，其治疗效果越来越积极，但平均每天仍有15人在等待器官移植时死亡。根据器官共享联合网络的数据，美国有超过9万人在等待器官移植。在美国，所有死亡中因脑死亡导致的比例不到1%。一个脑死亡的器官捐献者通过捐献器官有潜力挽救多达8个人的生命，并为多达50人提供组织和角膜移植。现实情况是，可用的脑死亡捐献者来源无法满足不断增长的等待名单的需求。为了帮助应对对器官日益增长的需求，心脏死亡后捐献已重新引入到患有灾难性脑损伤患者的家庭中。家属有权了解所有潜在的临终选择，包括器官捐献以及在适当情况下使用心脏死亡后捐献的选择。医院和医护人员必须致力于为捐献者家属和移植受者提供心脏死亡后捐献的选择。本文的目的是研究在一家拥有1061张床位、具备一级创伤指定的三级护理医院中实施心脏死亡后捐献政策的过程。
