{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T12:34:24Z","timestamp":1763037264545},"reference-count":19,"publisher":"Wiley","issue":"S4","license":[{"start":{"date-parts":[[2018,12,25]],"date-time":"2018-12-25T00:00:00Z","timestamp":1545696000000},"content-version":"vor","delay-in-days":54,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hastings Center Report"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Uncontrolled donation after circulatory death, which occurs when an individual has experienced unexpected cardiac arrest, usually not in a hospital, generates both excitement and concern. On the one hand, uDCD programs have the capacity to significantly increase organ donation rates, with good transplant outcomes\u2014mainly for kidneys, but also for livers and lungs. On the other hand, uDCD raises a number of ethical challenges. In this essay, we focus on an issue that is central to all uDCD protocols: When should we cease resuscitation and shift to organ preservation? Do current uDCD protocols prematurely consider as potential donors patients who could still have some chances of meaningful survival? Can the best interest of patients be fostered once they are considered and treated as potential donors?<\/jats:italic><\/jats:p>","DOI":"10.1002\/hast.950","type":"journal-article","created":{"date-parts":[[2018,12,25]],"date-time":"2018-12-25T21:16:28Z","timestamp":1545772588000},"update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Uncontrolled DCD: <i>When Should We Stop Trying to Save the Patient and Focus on Saving the Organs?<\/i>"],"prefix":"10.1002","volume":"48","author":[{"given":"Iv\u00e1n","family":"Ortega\u2010Deballon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Rodr\u00edguez\u2010Arias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,25]]},"reference":[{"key":"e_1_2_5_1_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-015-0985-7"},{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hast.128"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2010.08.006"},{"key":"e_1_2_5_4_1","unstructured":"Rodr\u00edguez-Ariaset al. \u201cCasting Light and Doubt on Uncontrolled DCDD Protocols\u201d; Rodr\u00edguez-Arias and Ortega-Deballon \u201cProtocols for Uncontrolled Donation after Circulatory Death.\u201d"},{"key":"e_1_2_5_5_1","unstructured":"Ibid."},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000144"},{"key":"e_1_2_5_7_1","unstructured":"Ibid."},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2016.01.018"},{"key":"e_1_2_5_9_1","unstructured":"Rodr\u00edguez-Ariaset al. \u201cCasting Light and Doubt on Uncontrolled DCDD Protocols\u201d; Rodr\u00edguez-Arias and Ortega-Deballon \u201cProtocols for Uncontrolled Donation after Circulatory Death\u201d; Ortega-Deballon et al. \u201cExtracorporeal Resuscitation for Refractory Out-Of-Hospital Cardiac Arrest in Adults.\u201d"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-017-0173-1"},{"key":"e_1_2_5_11_1","unstructured":"Ortega-Deballon Hornby and Shemie \u201cProtocols for Uncontrolled Donation after Circulatory Death\u201d; Rodr\u00edguez-Arias et al. \u201cCasting Light and Doubt on Uncontrolled DCDD Protocols\u201d; Organizaci\u00f3n Nacional de Trasplantes \u201cDonaci\u00f3n en asistolia en Espa\u00f1a: Situaci\u00f3n actual y recomendaciones \u201d Documento de Consenso Nacional 2012."},{"key":"e_1_2_5_12_1","unstructured":"Ibid."},{"key":"e_1_2_5_13_1","unstructured":"Dalle Ave and Bernat \u201cDonation after Brain Circulation Determination of Death.\u201d"},{"key":"e_1_2_5_14_1","unstructured":"Perkinset al. \u201cCardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports\u201d; Manara et al. \u201cWhat Follows Refractory Cardiac Arrest\u201d; Link \u201cAdult Advanced Cardio-vascular Life Support.\u201d"},{"key":"e_1_2_5_15_1","unstructured":"Dalle Ave and Bernat \u201cDonation after Brain Circulation Determination of Death.\u201d"},{"key":"e_1_2_5_16_1","unstructured":"Perkinset al. \u201cCardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports.\u201d"},{"key":"e_1_2_5_17_1","unstructured":"Ortega-Deballonet al. \u201cExtracorporeal Resuscitation for Refractory Out-Of-Hospital Cardiac Arrest in Adults.\u201d"},{"key":"e_1_2_5_18_1","unstructured":"Ibid."},{"key":"e_1_2_5_19_1","unstructured":"Ibid."}],"container-title":["Hastings Center Report"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhast.950","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hast.950","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T20:43:22Z","timestamp":1694810602000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hast.950"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":19,"journal-issue":{"issue":"S4","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1002\/hast.950"],"URL":"https:\/\/doi.org\/10.1002\/hast.950","archive":["Portico"],"relation":{},"ISSN":["0093-0334","1552-146X"],"issn-type":[{"value":"0093-0334","type":"print"},{"value":"1552-146X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11]]},"assertion":[{"value":"2018-12-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}