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BJA Advance Access published online on September 23, 2005
British Journal of Anaesthesia, doi:10.1093/bja/aei235
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Accepted August 1, 2005

Commentary

UK guidance for non-heart-beating donation

S. Ridley *, S. Bonner , K. Bray , S. Falvey , J. Mackay , A. Manara , and the Intensive Care Society's Working Group on Organ and Tissue Donation {dagger}

* To whom correspondence should be addressed.
S. Ridley, E-mail: saxon{at}domum.globalnet.co.uk


  Abstract

This guidance offers consensus opinion on the optimum management of non-heart-beating organ donation in adult critical care units. The guidance is not meant to dictate practice but rather to offer suggestions as to what might be considered reasonable practice. The following sections mainly relate to the medical aspects of non-heart-beating organ donation. Fuller guidance on other aspects of organ and tissue donation is available on the Society's website (www.ics.ac.uk). There are a number of parallel areas of work, such as the law on consent, the definition of death and revision of the original Code of Practice describing brainstem testing, which means that many aspects of organ donation are changing rapidly. This guidance is designed to help critical care practitioners while these issues are resolved.

Keywords: organ donation, guidelines.
{dagger}Members of the Working Group: Dr A. Bodenham, Consultant in Anaesthesia and Intensive Care, Department of Anaesthesia, Leeds General Infirmary, Leeds LS1 3EX. Dr S. Bonner, Consultant in Anaesthesia and Intensive Care, The James Cook University Hospital, Marton Road, Middlesborough TS4 3BW. Ms K. Bray, Consultant Nurse, Critical Care Directorate, Sheffield Teaching Hospitals, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF. Dr J. Dougall, Consultant in Anaesthesia and Intensive Care, Western Infirmary, Dumbarton Road, Glasgow G11 6NT. Dr P. Doyle, Senior Medical Officer, Policy Directorate, Department of Health, 133-155 Waterloo Road, London SE1 8UG. Ms S. Falvey, Director of Donor Care and Co-ordination, UK Transplant, Fox Den Road, Stoke Gifford, Bristol BS34 8RN. Dr I. Farquhar, Consultant in Intensive Care Medicine, University Hospital, Nottingham NG7 2UH. Dr J. Mackay, Consultant Anaesthetist, Anaesthetic Department, Papworth Hospital, Papworth Everard, Cambridge CB3 8RE. Dr A. Manara, Consultant in Anaesthesia and Intensive Care, North Bristol (NHS) Trust, Frenchay Hospital, Bristol BS16 1LE. Ms M. McElligott, Critical Care Lecturer/Practitioner, City University, St Barts School of Nursing, Philpot Street, Whitechapel, London E1 2EA. Dr A. Pittard, Consultant in Anaesthesia and Intensive Care, Department of Anaesthesia, Leeds General Infirmary, Leeds LS1 3EX. Dr S. Ridley (Chair), Consultant in Anaesthesia and Intensive Care, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7AU. Mr C. Rudge, Medical Director, UK Transplant, Fox Den Road, Stoke Gifford, Bristol BS34 8RN. Mrs B. Taylor, Senior Family and Medical Lawyer, Office of the Official Solicitor and Public Trustee, 81 Chancery Lane, London WC2A 1DD. Ms H. Tollerton, Donor Transplant Coordinator Team Leader, Box 210 Level 9, Department of Surgery, Addenbrooke's NHS Trust, Cambridge CB2 2QQ. Dr Willie Tullett, Consultant in Emergency Medicine, West Glasgow Hospitals University NHS Trust, Western Infirmary, Dumbarton Rd, Glasgow G11 6NT.
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