First pediatric organ donation after circulatory determination of death in Singapore: Facing challenges in the absence of a local practice guideline

Title

First pediatric organ donation after circulatory determination of death in Singapore: Facing challenges in the absence of a local practice guideline

Creator

Thong W Y; Chong P H; Koh P L; Loh W N; Tay S K

Identifier

Publisher

Pediatric Transplantation

Date

2020

Subject

pediatrics; end-of-life care; organ donation; clinical practice guidelines; donation after circulatory determination of death

Description

Pediatric organ donation represents only a low proportion of overall organ donation in many parts of world, unable to match the needs for pediatric organ transplantation. Pediatric organ donation after circulatory determination of death (DCD) is increasingly explored in pediatric transplantation, as it increases the availability of organ grafts. A 6-year-old Caucasian boy with a history of arteriovenous malformation presented with a catastrophic intracranial bleed, resulting in severe brainstem dysfunction despite maximal medical and surgical measures. He did not fulfill the criteria for brain death, which must be met for pediatric organ donation in Singapore. Due to parental request, his organs were donated after withdrawal of life support and determination of death by circulatory criteria. Pediatric organ DCD poses many challenges in the pediatric population, especially in the absence of a local practice guideline. We present the first case of a pediatric organ DCD that has occurred in Singapore. Further work is needed, particularly in establishing a national policy for pediatric organ DCD and increasing overall awareness and acceptance toward pediatric organ donations.

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Citation List Month

Developing World 2020 List

Citation

Thong W Y; Chong P H; Koh P L; Loh W N; Tay S K, “First pediatric organ donation after circulatory determination of death in Singapore: Facing challenges in the absence of a local practice guideline,” Pediatric Palliative Care Library, accessed October 16, 2021, https://pedpalascnetlibrary.omeka.net/items/show/17351.

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