Philpot Steven J
Cabrini Hospital, Melbourne, Vic, Australia.
Crit Care Resusc. 2018 Dec;20(4):254-257.
On 19 June 2019, the Voluntary Assisted Dying Bill 2017 (Vic) will be enacted. Up to ten per cent of people deemed eligible for voluntary assisted dying will be medically suitable for organ donation. Donation after circulatory death after assisted dying is possible, although there are important challenges to address for donation to be successful in this context. This article explores the practical and ethical considerations that need to be reviewed in order to support organ donation after assisted dying. In particular, it discusses the ways in which organ donation will affect the place, timing and mechanism of death, and the ethics around consent for donation. The article explores potential ways to minimise warm ischaemic time, and finally discusses the potential for donation to influence the decision to consume the voluntary assisted dying substance.
2019年6月19日，《2017年自愿协助死亡法案》（维多利亚州）将正式生效。在被认定符合自愿协助死亡条件的人群中，高达10%的人在医学上适合进行器官捐赠。协助死亡后循环死亡后的捐赠是可行的，不过在这种情况下要成功实现捐赠，仍有一些重大挑战需要应对。本文探讨了为支持协助死亡后的器官捐赠而需重新审视的实际和伦理考量。特别是，它讨论了器官捐赠将如何影响死亡的地点、时间和机制，以及围绕捐赠同意的伦理问题。本文探讨了尽量减少热缺血时间的潜在方法，最后讨论了捐赠可能对使用自愿协助死亡药物的决定产生的影响。
