The Nonviable Patient and Organ Procurement

  • Frederic J. ColeJr.
  • Jay N. Collins
  • Leonard J. WeireterJr.


The current state of medical technology and critical care support is such that people who never had a chance of survival a generation ago routinely leave the hospital and return to productive lives. The unfortunate side effect of this remarkable advance is that not all patients fare so well. The patient rapidly delivered to tertiary care for resuscitation only to be found to have a lethal central nervous system disease is a common occurrence on trauma and critical care services. The concept of the nonsalvageable patient and the role of futile care has become a regular part of conversations among medical staff at all levels—physician, nursing, resident, medical student, and allied health professional. Recognition of this patient is not always simple. We will argue these issues among ourselves. Who is nonsalvageable? What care is futile? How do we broach this with the families of these patients?


Intensive Care Unit Brain Death Diabetes Insipidus Disseminate Intravascular Coagulation Organ Procurement 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Frederic J. ColeJr.
    • 1
  • Jay N. Collins
    • 1
  • Leonard J. WeireterJr.
    • 1
  1. 1.Department of Surgery, Eastern Virginia Medical SchoolSentara Norfolk General HospitalNorfolkUSA

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