Elective ventilation for transplant purposes.

There is a shortfall in organ donations, particularly with regard to an increasing dialysis population. Some patients who now die on general wards would be suitable donors if they were nursed on Intensive Care Units (ICUs) and ventilated until brain-stem death is confirmed. This study examines the concept of elective ventilation in relation to ethical, economic and resource considerations and examines the role and philosophy of ICU nursing care. A suitable nursing model is discussed, including caring for relatives. In conclusion, it is submitted that the concept of elective ventilation for transplant purposes is not incompatible with the philosophy and aims of ICUs and nursing.