臓器提供病院から見た脳死移植問題
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概要
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Since the "Law of Organ Transplant" was enacted in 1997, transplants of organs from brain-dead patients have been performed in Japan. I interviewed physicians working for a hospital providing organs from brain-dead patients. The results are reported here. The discussion points are as follows: 1: There are four specific physician related roles to be found in the process of extracting organs from a brain-dead patient, as follows: A physician engaged in life saving (Physician for emergency), two physicians who diagnose brain death (Neuro internal physician and neurosurgeon), two physicians who manage a donor (Anesthetists), and two physicians supporting the extraction (Anesthetists). 2: The physicians had different opinions depending on their role. In particular, the anesthetists in charge of donor management felt that good quality medical treatment was not being provided, since the medical conduct was only the same as that for ordinary patients in the Department of Anesthesiology. 3: The anesthetists really felt that death occurred upon the extraction of the heart of the brain-dead patient. 4: Because the provision of an organ in an organ providing hospital is conducted under a division system, and feedback from a transplant hospital to an organ providing hospital is not conducted, physicians from the organ providing hospital could not understand the conditions of the recipient and could thus not evaluate transplants from the braindead patient. 5: Because observance of the law is more important than medical conduct, physicians don't need to ask questions about treatment that concern them.
- 日本医学哲学・倫理学会の論文
- 2002-11-10