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dc.contributor.authorEslava Gómez, Euclides
dc.date.accessioned2015-02-02T09:32:17Z
dc.date.available2015-02-02T09:32:17Z
dc.date.created2001
dc.date.issued2001
dc.identifier.otherhttp://personaybioetica.unisabana.edu.co/index.php/personaybioetica/article/view/815es_CO
dc.identifier.otherhttp://personaybioetica.unisabana.edu.co/index.php/personaybioetica/article/view/815/895es_CO
dc.identifier.otherhttp://personaybioetica.unisabana.edu.co/index.php/personaybioetica/article/view/815/1988es_CO
dc.identifier.urihttp://hdl.handle.net/10818/13928
dc.description9 páginas
dc.description.abstractIn 1992, Pittsburgh University was the first center that formulated an NHBD protocol Later on, the Institute of Medicine (USA) studied, besides the "controled" patients (whom entered the ICU, the ones who can be programmed for withdrawal), the situation of the "uncontroled" donors, that are the ones who have suffered an unexpected heart attack, with previous illness or without, and that have not being reanimated (Tables 1 and 2). In the other hand, in March of 1995, the Maastricht (Holland) meeting established that, in order to secure the "dead donor rule", the procedures for categories 1I and III (uncontrolled by failed reanimation and controlled by heart attack on hold) can only start 10 minutes after the cardiac massage has ceased, also artificial ventilation (Table 3). Finally, the last Spanish Act (Real Decreto Español) of 1999, that regulates the handling and clinical use of human organs, presents noticeable aspects such as the time on hold before initiating the preserving procedures of the organs, procedures just allowed after five minutes since declared dead . This new Act makes it possible to diagnose brain death by using other tests, scientifically more rigorous and objective, such as the measure of blood flow, and establishes a time of no less than five minutes, placing itself in a medium point between the two minutes of Pittsburgh protocol and the ten minutes of Maastricht. But this hold complements itself with a mayor degree of demand as it is proven that it has no way back, because it is an obligation on every case an adequate period of the application of the CPR and the previous reheatings in hipotherm¡a cases (Tables 4 and 5).
dc.description.abstractA pesar de que los estudios interdisciplinarios han permitido acceder a la justificación ética para realizar trasplantes de órganos extraídos a donantes en estado de muerte determinada por criterios neurológicos, el número de estos sigue siendo cada vez más pequeño en proporción con el de pacientes en la lista de espera. Para aumentar el número de trasplantes, últimamente se propone especialmente recurrir de nuevo a los "donantes a corazón parado" (DCP).La universidad de Pittsburgh, en 1992, fue el primer centro que formuló un protocolo para la extracción de los órganos de pacientes a los que se les hubieran suspendido las terapias desproporcionadas de sostenimiento de la vida. En segundo lugar, el Institute of Medicine (EE. UU.) Estudió en 1997, además de los pacientes previstos en el protocolo de Pittsburgh, a los "DCP incontrolados". Por otra parte, en marzo de 19,95 hubo una reunión en Maastricht (Holanda) sobre este tipo de donación y allí se establecieron nuevos criterios para asegurar la "regla del donante muerto". Finalmente, el último Real Decreto Español (RDE) de 1999, que regula la obtención y utilización clínica de órganos humanos, solo permite iniciar los procedimientos después de que hayan pasado cinco minutos tras la declaración de la muerte. Pero esa espera se complementa con un grado mayor de exigencia al tener que comprobarse la irreversibilidad, pues se exige en todos los casos un período adecuado de aplicación de maniobras de RCP y el recalentamiento previo en los casos de hipotermia.
dc.language.isospaes_CO
dc.publisherUniversidad de La Sabana
dc.relation.ispartofseriesPersona y Bioética; No 13-14 (2001)
dc.rightsThis journal and its contents are the property of Universidad de La Sabana and, therefore, may be accessed solely for reading or printing, as a personal copy, but not for profit. Prior authorization from Universidad de La Sabana is required for any other use, such as the reproduction, transformation, public communication or distribution of said material for a profit.The names and email addresses included in Aquichán shall be used solely for the declared purposes of this journal and shall not be made available for any other purpose or to any other person.The articles published in this journal represent the opinions of their authors and do not necessarily reflect the official position of Universidad de La Sabana.
dc.rightsA presente revista e seu conteúdo são propriedade da Universidade da Sabana e, consequentemente, só poderá se aceder a ela para leitura ou impressão, como cópia pessoal e sem fins lucrativos. Qualquer outra forma de utilização como reprodução, transformação, comunicação pública ou distribuição, com fins lucrativos, requer a autorização prévia da Universidade da Sabana.Os nomes e endereços de e-mail introduzidos nesta revista se usarão exclusivamente para os fins declarados e não estarão disponíveis para nenhum outro propósito ou outra pessoa.Os artigos que esta revista contém representam a opinião de seus autores e não constituem necessariamente a opinião da Universidade da Sabana.
dc.sourceUniversidad de La Sabanaes_CO
dc.sourceRepositorio Institucional de la Universidad de La Sabanaes_CO
dc.subjectDonantes a corazón parado
dc.subjectCriterios neurológicos de muerte
dc.subjectMuerte encefálica
dc.subject"Muerte cerebral"
dc.subjectTrasplantes
dc.titleDonantes a corazón parado: Historia de una esperanzaes_CO
dc.typearticlees_CO
dc.type.hasVersionpublishedVersiones_CO
dc.rights.accessRightsopenAccess


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