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nata nel 1985
PRESS RELEASE
YEAR XXIV n.11
12 June 2008
HE WAS READY TO HAVE HIS ORGANS REMOVED
BUT THE PATIENT DECLARED DEAD BY CARDIAC ARREST WAS STILL ALIVE
The lack of organs prompts physicians to new crimes
In Paris in February 2008 a 45 year-old man suffered a massive heart attack.
Rescuers tried to revive him for 10 minutes without success in an ambulance
before taking him to the Pitiè-Salpetriè hospital where he was declared to be
“dead from cardiac arrest”. Revival efforts continued as preparations were made
to turn him into an organ donor. The transplant team was late in arriving so
doctors had to continue using cardiac massage on the patient for an hour and a
half - not to save his life but to keep his circulation going in order to be
able to remove his organs (kidneys). In the operating theatre the patient’s
heart started beating autonomously again and the patient gave signs that he felt
pain: he was alive.
It was a timely delay as now the patient can walk and talk. Doctors are keen to
harvest kidneys for those on the waiting lists. The transplant team had been on
time they would have killed him.
A new stratagem of declaring a patient to be dead from cardiac arrest after 2 -
5 minutes is being treacherously employed in some countries side by side with
false “brain death” which is declared on patients on life-sustaining treatment
in order to obtain live and pulsating organs. Transplant surgeons hope to be
able to increase the number of organs available but the medical world is divided
over this procedure.
Prof. Dr. Massimo Bondì general surgeon and general pathologist says, “It is
obvious that the definitions of death have been distorted in order to obtain
organs for transplant. Brain death is not death, at best it is a prognosis of
death” and he adds, “cardiac death declared prematurely in 2 - 5 minutes is not
death because it is a potentially reversible situation in which case failure to
assist would be the case”. This shows us that organs are never taken from the
dead; they are always taken from alive or dying patients.
The most serious aspect of organ harvesting in the presence of cardiac arrest is
the administration of drugs such as anticoagulants before or whilst removing the
ventilator in order to preserve the organs during their removal; this is not to
favour the patient.
Doctors seem to have also forgotten about “apparent death”, especially in the
case of heart attack patients. When this occurs vermicular movement of the
muscular fibres of the myocardium guarantee subliminal circulation which sends
oxygen to the brain making it possible given the necessary time for the heart to
start beating again. This movement is not detected by an electrocardiogram
(ECG). Every year about 1000 cases of “apparent death” are registered in Europe.
It would be interesting to find out if the number of “apparent death” cases a
year has decreased in the countries where pilot programmes which permit organ
transplants on patients in cardiac arrest are practiced. This would be the proof
that patients are killed by the rush for organs to transplant.
By Italian law “death from cardiac arrest can be ascertained by a doctor (not
necessarily a cardiologist Ed) using an electrocardiogram (ECG) for 20 minutes”
or after 24 hours of simple observation or, when there is doubt of “apparent
death”, after 48 hours of observation.
A question comes to mind: after the forced suspension of the life-sustaining
treatment on a non-donor declared to be “brain dead”, after how long is the
patient considered to be dead from cardiac arrest? After 20 minutes, or is the
patient considered to be dead immediately in order to be able to use his tissues
and kidneys? Can we really be sure that the doctors inside an operating theatre
don’t remove kidneys straight after presumed cardiac arrest?
We know that Italy is working towards this new stratagem. Italy would like to
emulate Spain, where 30% of kidneys are removed using this ploy, as happens in
the USA, England and France .
Public debate has been silenced everywhere to favour the transplant industry.
Medical-Scientific
Committee Prof. Dr. Massimo Bondì L. D. Pat. Chir. e Prop. Clin. |
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