McGee Andrew, Gardiner Dale
Bioethics. 2017 Mar;31(3):220-230. doi: 10.1111/bioe.12317. Epub 2016 Dec 28.
In donation after the circulatory-respiratory determination of death (DCDD), the dead donor rule requires that the donor be dead before organ procurement can proceed. Under the relevant limb of the Uniform Determination of Death Act 1981 (USA), a person is dead when the cessation of circulatory-respiratory function is 'irreversible'. Critics of current practice in DCDD have argued that the donor is not dead at the time organs are procured, and so the procurement of organs from these donors violates the dead donor rule. We offer a new argument here in defence of current DCDD practice, and, in particular, of the interpretation of the requirement of 'irreversibility' as permanence.
在循环-呼吸判定死亡后捐赠（DCDD）中，死亡器官捐赠规则要求在器官获取能够进行之前捐赠者已经死亡。根据1981年《统一死亡判定法案》（美国）的相关条款，当循环-呼吸功能的停止是“不可逆的”时，一个人即为死亡。对当前DCDD实践的批评者认为，在获取器官时捐赠者并未死亡，因此从这些捐赠者身上获取器官违反了死亡器官捐赠规则。我们在此提出一个新的论据来为当前的DCDD实践辩护，尤其是为将“不可逆性”要求解释为永久性进行辩护。
