Non-Heart-Beating Organ Transplantation -- Copyright -- Preface -- ACKNOWLEDGEMENTS -- Senior Special Experts -- Contents -- Executive Summary -- 1 Introduction -- 2 Transplantation Supply and Demand -- SUPPLY -- DEMAND -- IMPROVING SUPPLY -- 3 Background -- THE HISTORICAL NHBD -- NEUROLOGIC CRITERIA FOR DEATH -- 4 The Modern Non-Heart-Beating Donor -- THE CONTROLLED NHBD -- THE UNCONTROLLED NHBD -- CURRENT STATUS OF THE NHBD IN TRANSPLANTATION -- 5 Survey of Organ Procurement Organization and Transplant Program Policies -- INTEREST IN OPO NHBD PROTOCOLS -- PROTOCOL STATISTICS -- IDENTIFICATION OF POTENTIAL DONORS -- APPROACH TO FAMILY FOR CONSENT -- OPO AND PROCUREMENT TEAM INTERVENTION BEFORE DEATH -- MEDICATION -- WITHDRAWAL OF LIFE SUPPORT AND DECLARATION OF DEATH -- UNCONTROLLED NHDS -- CONCLUSION -- 6 Analysis, Findings, and Recommendations -- GENERAL PRINCIPLES -- POLICIES AND OVERSIGHT -- MEDICAL INTERVENTIONS AND ETHICS -- CONFLICTS OF INTEREST -- DETERMINATION OF DEATH -- FAMILIES -- References -- Appendix A Letter to the Institute of Medicine from the Department of Health and Human Services -- Appendix B Agenda and Summary of Workshop on Medical and Ethical Issues in Maintaining the Viability of Organs for… -- AGENDA -- WORKSHOP SUMMARY -- Federal Government and Political Considerations -- UNOS: Procurement, Allocation, and Data Collection -- Organ Procurement Issues in the Context of the NHBD -- Scientific Issues and Medical Perspectives -- TRANSPLANT COORDINATION -- NHBD Supply, Results, Projections, and Other Information -- Consumer Concerns of Donors and Recipients -- Scientific Issues and Surgical Perspectives -- Ethical Concerns -- Determination of Death -- Interventions to Promote Organ Viability -- Conflicts of Interest -- Conclusion.

Appendix C U.S. Organ Procurement Organizations and Letter of Request for Non-Heart-Beating Donor Protocols.