Shaw A B
Bradford Hospitals.
J Med Ethics. 1996 Apr;22(2):72-7. doi: 10.1136/jme.22.2.72.
Non-therapeutic ventilation of potential organ donors would increase the supply of kidneys for transplantation. There are no major ethical objections to it. The means of permitting it are forbidden by laws with an ethical basis. A law permitting it would need an ethical basis. Introducing a third legal method of diagnosing death would be unethical. Expanding the power of the advance directive to permit procedures involving minimal harm would be ethical but not helpful. Extending the power of proxies to permit specific non-therapeutic procedures which caused or risked minimal harm to incompetent patients is the best way forward.
对潜在器官捐献者进行非治疗性通气将增加可用于移植的肾脏供应。对此不存在重大伦理异议。允许这样做的手段却被具有伦理基础的法律所禁止。允许这样做的法律需要有伦理基础。引入第三种诊断死亡的法律方法将是不道德的。扩大预先指示的权限以允许涉及最小伤害的程序将是符合伦理的，但并无帮助。扩大代理人的权限以允许对无行为能力患者实施造成最小伤害或有最小伤害风险的特定非治疗性程序是最佳的前进方向。
