van Dijk Gert, Giezeman Ariane, Ultee Fred, Hamers Raoul
Erasmus Medisch Centrum, afd. Medische Ethiek en Filosofie van de Geneeskunde, Rotterdam.
Ned Tijdschr Geneeskd. 2013;157(39):A6548.
In countries where active euthanasia by a physician is allowed under law - Belgium and the Netherlands - physicians are sometimes confronted with patients who want to donate organs after active euthanasia has been performed. This combination of procedures has been reported in Belgium, and this article is the first description of such a case in the Netherlands. It concerns a patient with a neurodegenerative disease who donated organs after euthanasia. The combination of two complex and controversial procedures - active euthanasia and organ donation - raises important ethical, legal and practical issues. It is suggested that with a thorough preparation and a strict separation of both procedures, organ donation after active euthanasia can strengthen patient autonomy and increase the number of donated organs.
在法律允许医生实施积极安乐死的国家——比利时和荷兰，医生有时会遇到一些患者，他们希望在实施积极安乐死后捐献器官。比利时已报道过这种程序组合的情况，本文是荷兰此类案例的首次描述。该案例涉及一名患有神经退行性疾病的患者，其在安乐死后捐献了器官。积极安乐死和器官捐献这两种复杂且有争议的程序组合引发了重要的伦理、法律和实际问题。有人认为，通过充分准备并严格区分这两种程序，积极安乐死后的器官捐献可以增强患者自主权并增加捐献器官的数量。
