Cranioplasty with bandaging. New forms of limitation of life support and organ donation
Copyright © 2012 Elsevier España, S.L. and SEMICYUC. All rights reserved..
Most of transplanted organs are obtained from brain death (BD) donors. In neurocritical patients with catastrophic injuries and decompressive craniectomy (DC), which show a dreadful development in spite of this treatment, DC could be a futile tool to avoid natural progress to BD. We propose if cranial compressive bandage (cranioplasty with bandage) could be an ethically correct practice, similar to other life-sustaining treatment limitation (LSTL) common methods. Based on a clinical case, we contacted with the Assistance Ethics Committee and some bioethics professionals asking them two questions: 1) Is ethically correct to perform a cranioplasty with bandage in those patients with LSTL indication? 2) Thinking in organ donation possibility, is this option preferable? Conclusions 1) Cranioplasty with bandage could be considered an ethically acceptable LSTL practice, similar to other procedures. 2) It facilitates organ donation for transplant, which provides value-added because of its own social good. 3) In these cases, it is necessary to know previous patient's will or, in absentia, to obtain family consent after a detailed procedure report.
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CommentIn: Med Intensiva. 2013 Oct;37(7):500-1. - PMID 23910829 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2013 |
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| Erschienen: |
2013 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:37 |
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| Enthalten in: |
Medicina intensiva - 37(2013), 3 vom: 29. Apr., Seite 180-4 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Escudero, D [VerfasserIn] |
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Date Completed 01.05.2014 Date Revised 02.12.2018 published: Print-Electronic CommentIn: Med Intensiva. 2013 Oct;37(7):500-1. - PMID 23910829 Citation Status MEDLINE |
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| doi: |
10.1016/j.medin.2012.12.008 |
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NLM225639947 |
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| 520 | |a Copyright © 2012 Elsevier España, S.L. and SEMICYUC. All rights reserved. | ||
| 520 | |a Most of transplanted organs are obtained from brain death (BD) donors. In neurocritical patients with catastrophic injuries and decompressive craniectomy (DC), which show a dreadful development in spite of this treatment, DC could be a futile tool to avoid natural progress to BD. We propose if cranial compressive bandage (cranioplasty with bandage) could be an ethically correct practice, similar to other life-sustaining treatment limitation (LSTL) common methods. Based on a clinical case, we contacted with the Assistance Ethics Committee and some bioethics professionals asking them two questions: 1) Is ethically correct to perform a cranioplasty with bandage in those patients with LSTL indication? 2) Thinking in organ donation possibility, is this option preferable? Conclusions 1) Cranioplasty with bandage could be considered an ethically acceptable LSTL practice, similar to other procedures. 2) It facilitates organ donation for transplant, which provides value-added because of its own social good. 3) In these cases, it is necessary to know previous patient's will or, in absentia, to obtain family consent after a detailed procedure report | ||
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