Impact of training on intensive care providers’ attitudes and knowledge regarding limitation of life-support treatment and organ donation after circulatory death

2018 ◽  
Vol 20 (2) ◽  
pp. 187-196 ◽  
Author(s):  
Maria del Mar Lomero ◽  
María F. Jiménez-Herrera ◽  
Mireia Llaurado-Serra ◽  
María A. Bodí ◽  
Nuria Masnou ◽  
...  
Keyword(s):  
Intensive Care ◽  
Organ Donation ◽  
Life Support ◽  
Care Providers ◽  
Donation After Circulatory Death ◽  
Attitudes And Knowledge ◽  
Support Treatment ◽  
Circulatory Death

scholarly journals Attitudes and Self-Reported End-Of-Life Care of Australian and New Zealand Intensive Care Doctors in the Context of Organ Donation after Circulatory Death

2018 ◽  
Vol 46 (5) ◽  
pp. 488-497 ◽  
Author(s):  
Y. Y. Lee ◽  
K. Ranse ◽  
W. Silvester ◽  
A. Mehta ◽  
F. M. P. Van Haren
Keyword(s):  
Intensive Care ◽  
New Zealand ◽  
Organ Donation ◽  
End Of Life ◽  
End Of Life Care ◽  
Regression Models ◽  
Factor Score ◽  
Life Care ◽  
Donation After Circulatory Death ◽  
Circulatory Death

The incidence of organ donation after circulatory death (DCD) in Australia and New Zealand (ANZ) has steadily increased in recent years. Intensive care doctors are vital to the implementation of DCD and healthcare professionals’ attitudes to DCD can influence their participation. In order to determine ANZ intensive care doctors’ attitudes to DCD, to explore if demographic characteristics influence attitude to DCD and to assess if attitude to DCD can predict palliative prescription rationale at the end of life of DCD donors, a cross-sectional online survey was distributed to ANZ intensive care doctors and responses collected between 29 April and 10 June 2016. Exploratory factor analysis was used to define various attributes of attitude to DCD. Results were subjected to comparative statistical analyses to examine the relation between demographic data and attitude to DCD. Multiple regression models were used to examine if attitude to DCD could predict intensive care doctors’ palliative prescription rationales at the end of life of DCD donors. One hundred and sixty-one intensive care doctors responded to the survey with 69.4% having worked in intensive care for ten years or more. Respondents responded positively to the support of and perceived importance of DCD in helping those who would benefit from the donations (constructive attributes) (mean composite factor score = 3.84, standard deviation [SD] 0.83), they positively perceived that conducive and facilitative orchestration of DCD helps families cope (mean composite factor score = 3.94, SD 0.72) and that they would manage a DCD donor similar to any patient at the end of their life (mean score = 3.94, SD 0.72). Respondents responded negatively to having concerns that the circulatory death of potential DCD donors does not occur within the specified time frame (mean score = 2.28, SD 1.02). There was an association between organ donation professional education courses, familiarity with national guidelines and positive attitudes to certain attributes of attitude to DCD. Regression models demonstrated the attitude to DCD may predict intensive care doctors’ palliative medication prescription rationales at the end of life of the DCD donor. Intensive care doctors in ANZ adopt a morally neutral attitude to DCD where they recognise the importance of organ donation, and support and conduct DCD as a part of good end-of-life care.

Organ donation after circulatory death: please avoid undue haste!

2021 ◽  
Author(s):  
Beatriz Domínguez-Gil ◽  
◽  
Alex R. Manara ◽  
Francis L. Delmonico
Keyword(s):  
Organ Donation ◽  
Donation After Circulatory Death ◽  
Circulatory Death

scholarly journals Donation after circulatory death. What is the opinion of pediatric intensive care professionals?

2021 ◽  
Author(s):  
María Carme Agra-Tuñas ◽  
Fernando Gómez-Sáez ◽  
Alberto García-Salido ◽  
Antonio Rodríguez-Núñez
Keyword(s):  
Intensive Care ◽  
Pediatric Intensive Care ◽  
Donation After Circulatory Death ◽  
Circulatory Death

Platelet activation after withdrawal of life support in donation after circulatory death donors

2020 ◽  
Vol 39 (12) ◽  
pp. 1494-1496
Author(s):  
Sarah E. Scheuer ◽  
Claudio Soto ◽  
Joanne Joseph ◽  
Paul C. Jansz ◽  
Peter S. Macdonald
Keyword(s):  
Platelet Activation ◽  
Life Support ◽  
Donation After Circulatory Death ◽  
Circulatory Death

scholarly journals Liver Transplantation in Children Using Organ Donation After Circulatory Death

JAMA Surgery ◽  
2014 ◽  
Vol 149 (1) ◽  
pp. 77 ◽  
Author(s):  
Johnny C. Hong ◽  
Robert Venick ◽  
Hasan Yersiz ◽  
Prawat Kositamongkol ◽  
Fady M. Kaldas ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Organ Donation ◽  
Donation After Circulatory Death ◽  
Circulatory Death
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