naa a22 4500 551316462 CHVBK 20181213060116.0 cr unu---uuuuu 181213e201811 xx s 000 0 eng 10.1177/0885066616682200 doi (SERVAL)BIB_891A8A5EFF47 28296536 pmid 000447787200003 isiid Uncontrolled Donation After Circulatory Determination of Death: A Systematic Ethical Analysis [Elektronische Daten] [A.L. Dalle Ave, J.L. Bernat] Uncontrolled donation after circulatory determination of death (uDCDD) refers to organ donation after a refractory cardiac arrest. We analyzed ethical issues raised by the uDCDD protocols of France, Madrid, and New York City. We recommend: (1) Termination of resuscitation (TOR) guidelines need refinement, particularly the minimal duration of resuscitation efforts before considering TOR; (2) Before enrolling in an uDCDD protocol, physicians must ascertain that additional resuscitation efforts would be ineffective; (3) Inclusion in an uDCDD protocol should not be made in the outpatient setting to avoid error and conflicts of interest; (4) The patient's condition should be reassessed at the hospital and reversible causes treated; (5) A no-touch period of at least 10 minutes should be respected to avoid the risk of autoresuscitation; (6) Once death has been determined, no procedure that may resume brain circulation should be used, including cardiopulmonary resuscitation, artificial ventilation, and extracorporeal membrane oxygenation; (7) Specific consent is required prior to entry into an uDCDD protocol; (8) Family members should be informed about the goals, risks, and benefits of planned uDCDD procedures; and (9) Public information on uDCDD is desirable because it promotes public trust and confidence in the organ donation system. Dalle Ave A.L. aut Bernat J.L. aut Journal of intensive care medicine 33/11(2018-11), 624-634 33:11<624-634 2018 33 1 article serval SERVAL 700 1- Dalle Ave A.L. aut SERVAL 700 1- Bernat J.L. aut SERVAL 773 0- Journal of intensive care medicine 33/11(2018-11), 624-634 33:11<624-634 2018 33 BK010053 XK010053 XK010000 SERVAL SERVAL SERVAL article