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#bioethics

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Winston Chiong

Announcing an upcoming panel on probably the most active controversy in #bioethics that people outside medicine (and many within) haven't heard of, #ta-NRP for #organdonation. (We're facing decisions about this at #UCSF and many other hospitals are also considering their policies.) This is a method for increasing the quantity and quality of organs available for transplantation, but which many critics believe violates the dead donor rule. In ta-NRP circulatory death of the donor is declared, after which perfusion is restored to thoracic and abdominal organs while brain perfusion is (we think) surgically prevented. Ta-NRP is performed in Spain, Italy, the Netherlands, France, and in some centers in the US; is contrary to guidelines in Canada, Australia, and NZ; and has been paused in Belgium and the UK pending further study.

At #Neuroethics2025 in Munich next month we'll host a panel, International Controversies over ta-NRP for Organ Procurement: Brain Perfusion and the Dead Donor Rule, including panelists to share key perspectives from three countries where ta-NRP has been performed, critiquing different conceptions of the role of the brain in circulatory death and how national professional and public norms affect views of this procedure:

  • Karola Kreitmair (Univ. of Wisconsin, US) is a philosopher whose work addresses philosophical arguments regarding ta-NRP and the dead donor rule.
  • Amelia Hessheimer (Hosp. Univ. La Paz, Spain) is a transplant surgeon and co-author of the European Society for Organ Transplantation's consensus statement on NRP.
  • Alex Manara (N. Bristol NHS Trust, UK) is an intensivist and author of an influential early analysis on ta-NRP and the dead donor rule.

neuroethicssociety.org/posts/i #neuroethics

neuroethicssociety.orgInternational Controversies over ta-NRP for Organ Procurement: Brain Perfusion and the Dead Donor RuleNeuroethics 2025Full scheduleRegistration This panel will explore experiences of and concerns about Thoracoabdominal normothermic regional perfusion (ta-NRP) in different cultural and legal contexts. Experts will identify and critique different conceptions of the role of the brain in informing perspectives on the permissibility of ta-NRP, as well as discuss how national professional and public norms around ... International Controversies over ta-NRP for Organ Procurement: Brain Perfusion and the Dead Donor Rule
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