Elsevier

The Lancet

Volume 350, Issue 9087, 1 November 1997, Pages 1320-1321
The Lancet

Department of Ethics
Should organs from patients in permanent vegetative state be used for transplantation?

https://doi.org/10.1016/S0140-6736(97)02306-4Get rights and content

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    Misdiagnosing the persistent vegetative state

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There are more references available in the full text version of this article.

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    A small group of respondents distrusting BD diagnosis owing to miraculous awakenings of comatose patients reminds us about the importance of differentiating BD from the permanent vegetative state, especially in the context of current controversies regarding this topic observed and widely commented on among the Polish medical societies and the media in 2013 [7]. Even though the “dead donor rule” has faced criticism in the past [8], inspiring discussions about recovering organs from patients in a permanent vegetative state disqualified from further futile medical treatment [9], Polish legal regulations present us with no such option. Allowing permanent vegetative state to coexist with BD in social awareness is likely to further undermine the level of trust for stating death in Polish transplantology, increasing the already disturbing number of respondents believing that BD may be easily confused with other medical conditions.

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    2002, American Journal of the Medical Sciences
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    In the current situation, in which outcome is still uncertain, it is unlikely that he would wish to risk his life for someone who is unknown to him unless he had some guarantee that it would benefit a loved one someday. However, even in PVS as mentioned above, 14 the decision to allow kidney donation is clouded by the potential conflict of interest of his surrogate decision maker. Decreasing the conflict of interest by allowing donation to a nonrelative/acquaintance on the waiting list might be fair, but does his relative get some priority treatment for this deed?

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