Exploring Ethical Dimensions of Physician Involvement in Requests for Organ Donation in Pediatric Brain Death. [Review]

MedStar author(s):
Citation: Seminars in Pediatric Neurology. 45:101031, 2023 04.PMID: 37003625Institution: MedStar Washington Hospital CenterDepartment: Center for EthicsForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Organ Transplantation | *Physicians | *Tissue and Organ Procurement | Brain Death | Child | Humans | Tissue Donors | Year: 2023ISSN:
  • 1071-9091
Name of journal: Seminars in pediatric neurologyAbstract: Pediatric organ transplantation remains a life-saving therapy, with donated organs being absolutely scarce resources. Efforts to both increase pediatric organ donation authorization by families of children declared dead by neurologic criteria and mitigate perception of conflicts of interest have resulted in frequent exclusion of physicians from this process. This article provides of focused review of pediatric organ donation in the setting of brain death, explores the breadth of consequences of physician exclusion in donation authorization requests, and provides an ethical framework defending physician involvement in the organ donation process for this patient population. Copyright © 2022 Elsevier Inc. All rights reserved.All authors: Leland B, Wocial LFiscal year: FY2023Digital Object Identifier: Date added to catalog: 06/01/2023
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Journal Article MedStar Authors Catalog Article 37003625 Available 37003625

Pediatric organ transplantation remains a life-saving therapy, with donated organs being absolutely scarce resources. Efforts to both increase pediatric organ donation authorization by families of children declared dead by neurologic criteria and mitigate perception of conflicts of interest have resulted in frequent exclusion of physicians from this process. This article provides of focused review of pediatric organ donation in the setting of brain death, explores the breadth of consequences of physician exclusion in donation authorization requests, and provides an ethical framework defending physician involvement in the organ donation process for this patient population. Copyright © 2022 Elsevier Inc. All rights reserved.

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