Skip to main content

Table 7 Concerns with policies on donation after cardiocirculatory death in children's hospitals in the United States, Canada, and Puerto Rico [142].

From: Donation after cardiocirculatory death: a call for a moratorium pending full public disclosure and fully informed consent

Topic of concern Examples % of protocols
Death determination Pulselessness can be determined by palpation alone (a highly inaccurate method [161, 162]. 14%
  No specification of method to determine pulselessness. 11%
  No specification of duration of absent circulation until organ harvest. 10%
  Fewer than 5 minutes of absent circulation until organ harvest. 10%
Conflicts of interest Transplant personnel are precluded from declaring death. 88%
  Transplant personnel are excluded from premortem donor management. 51%
  Physicians caring for potential organ recipients are excluded from participating in premortem donor management or declaration of donor death. 32%
  If the family raises a question about organ donation, donation after cardiocirculatory death can be discussed with the family prior to a withdrawal of life support decision. 21%
Premortem interventions Premortem interventions are prohibited. 3%
  Premortem heparin is used. 55%
  Premortem vasodilator(s) are used. 18%
  Premortem vessel cannulation is used. 36%
  Consent is required for premortem interventions. 75%
Palliative care of donor Medication intended to hasten death is precluded. 44%
  Withdrawal of life support occurs only in the operating room. 54%
  Of those having withdrawal of life support in the operating room, the family is allowed to remain until death is declared. 48%
  The family is permitted to view the body after organ removal. 27%
Voluntariness of consent The family can withdraw consent at any time. 16%