Should we use full analgesic dose of opioids for organ procurement in brainstem dead?

• 作者: Philippe Charlier John-David Rebibo Nadia Benmoussa
• 来源期刊: 世界荟萃分析杂志
• 学科: 文学
• 关键词: BIOETHICS Transplantation ANAESTHESIOLOGY Brainstem dead
• 年，卷（期）: 2021,（1）
• 页码范围: 51-53
• 页数: 3页
• 分类号: H31

摘要

Families facing the growing demand for organ removal from their loved ones are questioning the possible suffering of the brainstem dead patient.A frequent question they ask to coordinating doctors is:Are you sure he will not feel anything?Currently due to the risk of exacerbation of spinal reflexes and abnormal movements following surgical stimuli,it is recommended to use a curarization and an analgesic agent(most often morphine).The doses of opioids are less important than during usual anaesthesia,whereas the person is considered brainstem dead and there is no longer any cerebral integration of the pain.But what assures us that absolutely no more sensibility exists at this precise moment?Should the use of full analgesic dose of opioids not be continued anyway?Could this make the levies more"ethical"?