Transplanting Hearts after Death Measured by Cardiac Criteria: The Challenge to the Dead Donor Rule

Journal of Medicine and Philosophy 35 (3):313-329 (2010)

Abstract

The current definition of death used for donation after cardiac death relies on a determination of the irreversible cessation of the cardiac function. Although this criterion can be compatible with transplantation of most organs, it is not compatible with heart transplantation since heart transplants by definition involve the resuscitation of the supposedly "irreversibly" stopped heart. Subsequently, the definition of "irreversible" has been altered so as to permit heart transplantation in some circumstances, but this is unsatisfactory. There are three available strategies for solving this "irreversibility problem": altering the definition of death so as to rely on circulatory irreversibility, rather than cardiac; defining death strictly on the basis of brain death (either whole-brain or more pragmatically some higher brain criteria); or redefining death in traditional terms and simultaneously legalizing some limited instances of medical killing to procure viable hearts. The first two strategies are the most ethically justifiable and practical

Download options

PhilArchive



    Upload a copy of this work     Papers currently archived: 72,855

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Analytics

Added to PP
2010-07-27

Downloads
35 (#329,998)

6 months
1 (#386,001)

Historical graph of downloads
How can I increase my downloads?

Similar books and articles

On the Ordinary Concept of Death.Stephen Holland - 2010 - Journal of Applied Philosophy 27 (2):109-122.
Abandon the Dead Donor Rule or Change the Definition of Death?Robert M. Veatch - 2004 - Kennedy Institute of Ethics Journal 14 (3):261-276.
Death Revisited: Rethinking Death and the Dead Donor Rule.A. S. Iltis & M. J. Cherry - 2010 - Journal of Medicine and Philosophy 35 (3):223-241.
Potentiality, Irreversibility, and Death.John P. Lizza - 2005 - Journal of Medicine and Philosophy 30 (1):45 – 64.
The Ohio Study in Light of National Data and Clinical Experience.Tracy C. Schmidt - 2004 - Kennedy Institute of Ethics Journal 14 (3):235-240.
Reevaluating the Dead Donor Rule.Mike Collins - 2010 - Journal of Medicine and Philosophy 35 (2):1-26.