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  1. Article ; Online: Intensive care admission aiming at organ donation. Pro.

    Pérez-Blanco, Alicia / Manara, Alex

    Intensive care medicine

    2024  Volume 50, Issue 3, Page(s) 437–439

    MeSH term(s) Humans ; Tissue and Organ Procurement ; Critical Care ; Intensive Care Units ; Tissue Donors
    Language English
    Publishing date 2024-03-04
    Publishing country United States
    Document type Editorial
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-024-07334-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: National recommendations on paediatric organ donation. Authors reply.

    Rodríguez Núñez, Antonio / Pérez Blanco, Alicia

    Anales de pediatria

    2024  Volume 100, Issue 4, Page(s) e31

    MeSH term(s) Humans ; Tissue and Organ Procurement/standards ; Child ; Practice Guidelines as Topic ; Spain
    Language English
    Publishing date 2024-04-04
    Publishing country Spain
    Document type Letter
    ZDB-ID 2830901-7
    ISSN 2341-2879 ; 2341-2879
    ISSN (online) 2341-2879
    ISSN 2341-2879
    DOI 10.1016/j.anpede.2024.03.037
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: How Do Healthcare Providers Feel About Family Presence During Cardiopulmonary Resuscitation?

    Pérez Blanco, Alicia

    The Journal of clinical ethics

    2017  Volume 28, Issue 2, Page(s) 102–116

    Abstract: The presence of patients' families during cardiopulmonary resuscitation (CPR) is a controversial topic, due to its repercussions for clinical practice. While family members' presence may help them to overcome their grief, it could be detrimental, as it ... ...

    Abstract The presence of patients' families during cardiopulmonary resuscitation (CPR) is a controversial topic, due to its repercussions for clinical practice. While family members' presence may help them to overcome their grief, it could be detrimental, as it may case posttraumatic stress disorder (PTSD), and there is the possibility that family members may interfere with the procedure. For these reasons, families' presence during CPR has rejected by some healthcare providers. To research concerns about families' presence among providers dealing with CPR in the Fundación Hospital Alcorcón (Madrid), I performed this study. Of the 190 providers surveyed, 115 submitted a complete questionnaire. The most frequently reported concerns were interference (78.3 percent of respondents), and PTSD (69.6 percent of respondents). Fewer pediatric providers were concerned about PTSD than other providers (41.2% percent versus 74.5 percent, p = 0.01). Providers were reluctant to offer families the option of being present unless they had requested it, and would only permit it under certain conditions. Having a staff member to support the family was of great value to most respondents. The author believes families have a negative right to be present during CPR and so should be invited to stay.
    Language English
    Publishing date 2017
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1122655-9
    ISSN 1046-7890
    ISSN 1046-7890
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Recomendaciones nacionales sobre donación pediátrica.

    Rodríguez Núñez, Antonio / Pérez Blanco, Alicia

    Anales de pediatria

    2020  Volume 93, Issue 2, Page(s) 134.e1–134.e9

    Abstract: Despite being an international reference in donation and transplantation, Spain needs to improve pediatric donation, including donation after the circulatory determination of death. The present article, a summary of the consensus report prepared by the ... ...

    Title translation National recommendations on pediatric donation.
    Abstract Despite being an international reference in donation and transplantation, Spain needs to improve pediatric donation, including donation after the circulatory determination of death. The present article, a summary of the consensus report prepared by the Organización Nacional de Trasplantes and the Spanish Pediatrics Association, intends the facilitation of donation procedures in newborns and children and the analysis of associated ethical dilemma. The ethical basis for donation in children, the principles of clinical assessment of possible donors, the criteria for the determination of death in children, intensive care management of donors, basic concepts of donation after the circulatory determination of death and the procedures for donation in newborns with severe nervous system's malformation incompatible with life, as well as in children receiving palliative care are commented. Systematically considering the donation of organs and tissues when a child dies in conditions consistent with donation is an ethical imperative and must become an ethical standard, not only because of the need of organs for transplantation, but also to ensure family centered care.
    MeSH term(s) Child ; Death ; Humans ; Infant, Newborn ; Organ Transplantation/ethics ; Organ Transplantation/methods ; Pediatrics/ethics ; Spain ; Tissue Donors/ethics ; Tissue and Organ Procurement/ethics ; Tissue and Organ Procurement/methods
    Keywords covid19
    Language Spanish
    Publishing date 2020-06-30
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2830901-7
    ISSN 2341-2879 ; 2341-2879
    ISSN (online) 2341-2879
    ISSN 2341-2879
    DOI 10.1016/j.anpedi.2020.04.024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: International Travel for Transplantation: Time for Transparency.

    López-Fraga, Marta / Pérez-Blanco, Alicia / Domínguez-Gil, Beatriz

    Transplantation

    2021  Volume 106, Issue 2, Page(s) e112–e113

    MeSH term(s) Travel
    Language English
    Publishing date 2021-09-23
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 208424-7
    ISSN 1534-6080 ; 0041-1337
    ISSN (online) 1534-6080
    ISSN 0041-1337
    DOI 10.1097/TP.0000000000003971
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Organ and Tissue Donation Consent Model and Intent to Donate Registries: Recommendations From an International Consensus Forum.

    Walton, Phil / Pérez-Blanco, Alicia / Beed, Stephen / Glazier, Alexandra / Ferreira Salomao Pontes, Daniela / Kingdon, Jennifer / Jordison, Kim / Weiss, Matthew J

    Transplantation direct

    2023  Volume 9, Issue 5, Page(s) e1416

    Abstract: Consent model and intent to donate registries are often the most public facing aspects of an organ and tissue donation and transplantation (OTDT) system. This article describes the output of an international consensus forum designed to give guidance to ... ...

    Abstract Consent model and intent to donate registries are often the most public facing aspects of an organ and tissue donation and transplantation (OTDT) system. This article describes the output of an international consensus forum designed to give guidance to stakeholders considering reform of these aspects of their system.
    Methods: This Forum was initiated by Transplant Québec and cohosted by the Canadian Donation and Transplantation Program partnered with multiple national and international donation and transplantation organizations. This article describes the output of the consent and registries domain working group, which is 1 of 7 domains from this Forum. The domain working group members included administrative, clinical, and academic experts in deceased donation consent models in addition to 2 patient, family, and donor partners. Topic identification and recommendation consensus was completed over a series of virtual meetings from March to September 2021. Consensus was achieved by applying the nominal group technique informed by literature reviews performed by working group members.
    Results: Eleven recommendations were generated and divided into 3 topic groupings: consent model, intent to donate registry structure, and consent model change management. The recommendations emphasized the need to adapt all 3 elements to the legal, societal, and economic realities of the jurisdiction of the OTDT system. The recommendations stress the importance of consistency within the system to ensure that societal values such as autonomy and social cohesion are applied through all levels of the consent process.
    Conclusions: We did not recommend one consent model as universally superior to others, although considerations of factors that contribute to the successful deployment of consent models were discussed in detail. We also include recommendations on how to navigate changes in the consent model in a way that preserves an OTDT system's most valuable resource: public trust.
    Language English
    Publishing date 2023-04-28
    Publishing country United States
    Document type Journal Article
    ISSN 2373-8731
    ISSN 2373-8731
    DOI 10.1097/TXD.0000000000001416
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Uterus Transplantation as a Surgical Innovation.

    Pérez-Blanco, Alicia / Seoane, José-Antonio / Pallás, Teresa Aldabo / Nieto-Moro, Montserrat / Calonge, Rocío Núñez / de la Fuente, Alfonso / Martin, Dominique E

    Journal of bioethical inquiry

    2023  Volume 20, Issue 3, Page(s) 367–378

    Abstract: Uterus transplantation (UTx) research has been introduced in several countries, with trials in Sweden and the United States producing successful outcomes. The growing interest in developing UTx trials in other countries, such as Spain, the Netherlands, ... ...

    Abstract Uterus transplantation (UTx) research has been introduced in several countries, with trials in Sweden and the United States producing successful outcomes. The growing interest in developing UTx trials in other countries, such as Spain, the Netherlands, Japan, and Australia, raises important questions regarding the ethics of surgical innovation research in the field of UTx. This paper examines the current state of UTx in the context of the surgical innovation paradigm and IDEAL framework and discusses the ethical challenges faced by those considering the introduction of new trials. We argue that UTx remains an experimental procedure at a relatively early stage of the IDEAL framework, especially in the context of de novo trials, where protocols are likely to deviate from those used previously and where researchers are likely to have limited experience of UTx. We conclude that countries considering the introduction of UTx trials should build on the strengths of the reported outcomes to consolidate the evidence base and shed light on the uncertainties of the procedure. Authorities responsible for the ethical governance of UTx trials are advised to draw on the ethical framework used in the oversight of surgical innovation.
    MeSH term(s) Female ; Humans ; Infertility, Female/surgery ; Organ Transplantation ; Uterus/transplantation ; Japan ; Sweden
    Language English
    Publishing date 2023-06-29
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2253038-1
    ISSN 1872-4353 ; 1176-7529
    ISSN (online) 1872-4353
    ISSN 1176-7529
    DOI 10.1007/s11673-023-10272-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Special issues in pediatric deceased organ donation.

    Weiss, Matthew J / Pérez Blanco, Alicia / Gelbart, Ben

    Intensive care medicine

    2019  Volume 45, Issue 3, Page(s) 361–363

    MeSH term(s) Adolescent ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Male ; Pediatrics/methods ; Pediatrics/trends ; Tissue Donors/supply & distribution ; Tissue and Organ Procurement/methods ; Tissue and Organ Procurement/statistics & numerical data ; Tissue and Organ Procurement/trends
    Language English
    Publishing date 2019-02-06
    Publishing country United States
    Document type Editorial
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-019-05523-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Legislación, ética y trasplante renal.

    Valentín, María O / Pérez Blanco, Alicia / Marazuela, Rosario / Domínguez-Gil, Beatriz

    Archivos espanoles de urologia

    2021  Volume 74, Issue 10, Page(s) 910–921

    Abstract: Kidney transplantation (KT) is the best therapeutic option for patients with end-stage renal disease in terms of survival, quality of life and cost-effectiveness. The fundamental difference of KT with respect to other therapies is that the process ... ...

    Title translation Legislaction, ethics and kidney transplantation.
    Abstract Kidney transplantation (KT) is the best therapeutic option for patients with end-stage renal disease in terms of survival, quality of life and cost-effectiveness. The fundamental difference of KT with respect to other therapies is that the process depends on the availability of organs for clinical use, availability that is insufficient to cover the increasing transplantation needs of the population. Another relevant feature of transplantation is that it entails a risk of transmission of diseases from donor to recipient, a risk that can be minimized, but not completely eliminated. Due to its characteristics and its unique nature (the human being), KT requires a specific regulation that guarantees the protection of all those who participate in the process: donors and their families, patients in need of a transplant, recipients of organs and healthcareprofessionals involved. In this article, we reviewthe ethical-legal standards that regulate the practice of kidney donation and transplantation at the international level and analyze the ethical-legal framework that is applicable in Spain.
    MeSH term(s) Humans ; Kidney Failure, Chronic/surgery ; Kidney Transplantation ; Quality of Life ; Tissue Donors ; Tissue and Organ Procurement
    Language Spanish
    Publishing date 2021-11-23
    Publishing country Spain
    Document type Journal Article ; Review
    ZDB-ID 211673-x
    ISSN 0004-0614
    ISSN 0004-0614
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Recomendaciones nacionales sobre donación pediátrica./ [National recommendations on pediatric donation]

    Rodríguez Núñez, Antonio / Pérez Blanco, Alicia

    An Pediatr (Barc)

    Abstract: Despite being an international reference in donation and transplantation, Spain needs to improve pediatric donation, including donation after the circulatory determination of death. The present article, a summary of the consensus report prepared by the ... ...

    Abstract Despite being an international reference in donation and transplantation, Spain needs to improve pediatric donation, including donation after the circulatory determination of death. The present article, a summary of the consensus report prepared by the Organización Nacional de Trasplantes and the Spanish Pediatrics Association, intends the facilitation of donation procedures in newborns and children and the analysis of associated ethical dilemma. The ethical basis for donation in children, the principles of clinical assessment of possible donors, the criteria for the determination of death in children, intensive care management of donors, basic concepts of donation after the circulatory determination of death and the procedures for donation in newborns with severe nervous system's malformation incompatible with life, as well as in children receiving palliative care are commented. Systematically considering the donation of organs and tissues when a child dies in conditions consistent with donation is an ethical imperative and must become an ethical standard, not only because of the need of organs for transplantation, but also to ensure family centered care.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #627455
    Database COVID19

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