This book offers a theoretical and practical overview of the specific ethical and legal issues in pediatric organ transplantation. Written by a team of leading experts, Ethical Issues in Pediatric Organ Transplantation addresses those difficult ethical questions concerning clinical, organizational, legal and policy issues including donor, recipient and allocation issues. Challenging topics, including children as donors, donation after cardiac death, misattributed paternity, familial conflicts of interest, developmental disability as a listing criteria, small bowel transplant, and considerations in navigating the media are discussed. It serves as a fundamental handbook and resource for pediatricians, transplant health care professionals, trainees, graduate students, scholars, practitioners of bioethics and health policy makers.
Introduction - Rodrķguez-Arias,Greenberg, and Goldberg.- 1.0 Living Donation.- 1.1 Minors as organ donors -Freedman Ross, Parker and Thistelwaite.- 1.2 Living donors for fulminanthepatic failure in children - Segedi and Grant.- 1.3 The Ethics of Persuasion:Evaluating the ethical limits on attempting to persuade families to donate theorgans of deceased family members - Chandler and Gruben.- 1.4 MisattributedPaternity - Freeman and Parker.- 2.0 Deceased Donation.- 2.1 Deathdetermination in children - Shemie and Ortega-Deballon.- 2.2 Controlleddonation after cardiac death (2 chapters).- 2.2.1 Controlled donation aftercardiac death in pediatrics - Talati and Frader.- 2.2.2 Ethical andorganizational challenges in controlled donation after cardiac death forchildren - Harrison.- 3.0 Emerging Technology.- 3.1 Ethical issues in pediatricbowel rehabilitation and small bowel transplantation - Fecteau.- 3.2Vascularized Composite Allotransplantation (VCA) - Zlotnik Shaul, Wright,
Flynn, Borschel, Hanson, and Zuker.- 3.3 Media management - Amaral and Feudtner.-4.0 Allocating Organs.- 4.1Transplantation for pediatric foreign nationals -Fortin and Greenberg.- 4.2 Neurodevelopmental status as a criterion for solidorgan transplant eligibility - Wightman, Diekema and Smith.- 5.0 RecipientIssues.- 5.1 Psychosocial aspects ofpediatric organ transplantation - Derrington, Goldberg and Frader.- 5.2 Ethicalissues in adolescents and transplantation - Goldberg and Fine.- Conclusion -Rodrķguez-Arias, Greenberg, Goldberg.