In Western countries, the legal procurement of cadaveric human organs is everywhere organized as a gi!-exchange. Yet despite this basic similarity, donation rates vary widely, and this fact is o!en overlooked in debates about the merits of gi!versus marketbased systems. I investigate the sources of variation in procurement rates using time-series data from seventeen oecd countries. I focus on t...

Most people think it is wrong to take organs from the dead if the potential donors had previously expressed a wish not to donate. Yet people respond differently to a thought experiment that seems analogous in terms of moral relevance to taking organs without consent. We argue that our reaction to the thought experiment is most representative of our deepest moral convictions. We realize not ever...

The need for cadaveric organs other than kidneys for transplantation is increasing. Principles and techniques that allow their procurement without jeopardizing renal recovery are outlined. These include utilization of brain dead donors, careful donor selection, and surgery which minimizes warm ischema while avoiding iatrogenic injury. Utilizing this approach, a variety of combinations of organs...

OBJECTIVE To characterize the profile of effective organ and tissue donors and to understand which organs and tissues were donated for transplantation. METHODS This was a quantitative, descriptive, exploratory, retrospective study that analyzed clinical data from 305 donors between January 2006 to December 2010. The data were then analyzed using descriptive analyses, generating frequency tabl...

Two or three different solutions may be used to preserve thoracic and abdominal organs during a single procurement. The aim of this prospective, multi-center, noncomparative study was to evaluate the safety and efficacy of Celsior (study solution, solution S) as a flushing and cold storage solution for both thoracic and abdominal organs. Between August 1999 and July 2000, 72 consecutive multipl...

THE FIRST TOPIC discussed by the panelists was collaboration between ethicists and medical professionals to elaborate a system of ethical assessment related to all transplantation activities. The necessity of such a system was agreed to be undisputable. Mutual consultation requires a common language, fully understandable by both parties. One of the panelists, an ethicist with a good medical bac...

Techniques have been developed which permit removal of the kidneys, liver, heart and other organs from the same donor without jeopardy to any of the individual grafts. The guiding principle is avoidance with all organs of warm ischemia. This is achieved by carefully timed and controlled infusion of cold solutions into anatomic regions, the limits of which are defined by preliminary dissection.