Ethics of Liver Transplantation: The Role of the Anesthesiologist

Author:

West James M.1

Affiliation:

1. Methodist-LeBonheur Healthcare, Memphis, TN, USA

Abstract

Anesthesiologists have clearly established their place in the history of medical ethics. Our involvement goes back to 1966 when Henri Beecher published his landmark paper on research and informed consent. Participation in the ethics of transplantation is no less important than our previous work. Organ transplant has been life saving for many but also has given rise to many misunderstandings not just from the public but also among our own colleagues. These include methods of allocation and donation, the role that affluence may play in receiving an organ, the definition of death and donation after circulatory death. As perioperative physicians and important members of the transplant team, anesthesiologists are expected to participate in all aspects of care including ethical judgments. This article discusses some of the issues that seem to cause the most confusion and angst for those of us involved in both liver transplantation and in the procurement of organs. It will discuss the definition of death, donation after circulatory death, the anesthesiologists’ role on the selection committee, living donor liver transplantation, and transplantation of patients with alcohol-related liver disease.

Publisher

SAGE Publications

Subject

Anesthesiology and Pain Medicine,Cardiology and Cardiovascular Medicine

Reference26 articles.

1. Ethics and Clinical Research

2. Beauchamp TL, Childress JF. Principles of Biomedical Ethics. 5th ed. Oxford, London: Oxford University Press; 2001:12.

3. A Definition of Irreversible Coma

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