![]() ![]() This guidance was developed by the British Transplantation Society and Intensive Care Society: Important national documents relating to DCD include: Professional guidance ![]() Various publications and professional documents have supported the introduction of controlled DCD programmes into the UK, and they should form the basis for the local policies that describe how this type of donation is incorporated into a patient’s end of life care. The underpinning principle of the programme is that donation can on many occasions be legitimately be viewed as part of the care that a person might wish to receive at the end of their lives. The success of the UK DCD programme can be attributed to the resolution of the apparent legal, ethical and professional obstacles to this model of donation. ![]() The clinical circumstances in which DCD can occur are described by the Maastricht classification The Maastricht classification of Donation after Circulatory DeathĬardiac arrest follows planned withdrawal of life sustaining treatmentsĬardiac arrest in a patient who is brain dead In contrast, controlled DCD takes place after death which follows the planned withdrawal of life-sustaining treatments that have been considered to be of no overall benefit to a critically ill patient on ICU or in the Emergency Department. Uncontrolled DCD refers to organ retrieval after a cardiac arrest that is unexpected and from which the patient cannot or should not be resuscitated. There are two principal types of DCD, controlled and uncontrolled. Donation after Circulatory Death (DCD), previously referred to as donation after cardiac death or non-heartbeating organ donation, refers to the retrieval of organs for the purpose of transplantation from patients whose death is diagnosed and confirmed using cardio-respiratory criteria. ![]()
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