Canadian Blood Services releases first set of national guidelines for organ donation after medical assistance in dying

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The new guidelines tackle a slew of ethical and practical quandaries that have made some provincial organ-donation organizations reluctant to pursue hearts, lungs, livers and kidneys from patients who choose to die with the help of a physician

Heather Ross, a retired veterinarian, with a picture frame of her late husband Bob Blackwood at her home in Cookshire-Eaton, on May 31, 2019. Ross' husband, Bob Blackwood, was one of the first in Canada to donate organs after his medically assisted death.In the last moments before Bob Blackwood died, the surgeon paused and, in front of a hushed crowd of operating-room staff, thanked Mr. Blackwood for the gift he was about to give.

Published Monday in the Canadian Medical Association Journal the new guidelines from Canadian Blood Services tackle a slew of ethical and practical quandaries that have made some provincial organ-donation organizations reluctant to pursue hearts, lungs, livers and kidneys from patients who choose to die with the help of a physician. While not binding, the document offers a road map for the organizations and hospitals who want to navigate this new terrain.

Dr. Downar said some provincial organ-donation organizations became more open to the idea after they were “inundated” with requests from patients themselves.

Besides hesitancy from parts of the health-care system, there are other reasons so few transplants have followed assisted deaths in Canada.

 

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