J Med Life Sci > Volume 17(3); 2020 > Article
Journal of Medicine and Life Science 2020;17(3):74-79.
DOI: https://doi.org/10.22730/jmls.2020.17.3.74    Published online December 31, 2020.
순환정지 후 장기기증의 의료윤리적 문제
박순호1, 허정식2, 김기영3
1펜실베니아 대학
2제주대학교 의학전문대학원 비뇨의학과
3경희대학교 공공대학원 의료관리학과
Medical ethical problems of organ donation after circulatory death
Sunho Park1, Jung-Sik Huh2, Ki Young Kim3
1Science in Education, University of Pennsylvania Graduate School of Education, Philadelphia, PA 19104, USA
2Department of Urology, School of Medicine, Jeju National University, Jeju, Republic of Korea
3Graduate School of Public Policy & Civic Engagement, Kyung Hee Univ., Seoul, Republic of Korea
Correspondence:  Ki Young Kim, Tel: 82-2-961-0131~2, Fax: 82-2-961-9574,  Email: kimk2201@hanmail.net
Received: 19 October 2020   • Revised: 11 December 2020   • Accepted: 17 December 2020
Abstract
It is necessary to expand organ donations of the deceased, as more ethical problems are emerging from the increase in organ donations from the living. As the legal and ethical discussions on donation after circulatory death (DCD) as a field with the potential to expand such domestic organ donation are being held, the need for a social consensus is increasingly highlighted. Organ DCD refers to the donation of an organ from a patient whose spontaneous blood circulation has stopped due to cardiac death. In this study, we aimed to examine whether there are legal and ethical obstacles or medical uncertainties for expanding the practice of DCD. By law, death is recognized as cardiac death, and brain death is recognized as an exception for organ transplantation. Although circulatory death precedes brain death, this paper presents a discussion to begin the process of reaching an ethical and legal agreement on whether or not circulatory death can be recognized as death. Successful implementations of DCD, including Category III DCD, in other countries are currently being reviewed to introduce Category III DCD in Korea.
Key Words: Donation after circulatory death, Legal discussion, Medical ethics, Nonheart-Beating Donor, Brain death
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