Adam Omelianchuk
@AdamOmelianchuk
Medical ethicist who thinks hard about "brain death" and the dead-donor rule. Tweets may go away after awhile but papers do not: https://t.co/1fdfWonsvN
ID:1320163377319014402
https://sites.google.com/view/adam-omelianchuk/home 25-10-2020 00:40:56
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Adam Omelianchuk Christos Lazaridis Richard Choi, DO This is absolute rubbish. A totally new explanation that seems designed to circumvent objections. And so the gerrymandering continues…
Adam Omelianchuk Christos Lazaridis Richard Choi, DO And a bit of a bizarre claim since heart transplants after brain death (traditional DBD) do very well. And also strange since brain death is (almost) ensured specifically by the clamping and likely wouldn’t occur without it.
Adam Omelianchuk Christos Lazaridis Agree with others that this is not typically what is described as the reason for the clamping. Interestingly, someone shared with me that the adrenal storm sometimes seen with clamping leads to pulmonary edema and could actually worsen 🫁 function?
Adam Omelianchuk Christos Lazaridis Richard Choi, DO Just went through stack of NRP articles. Not how anybody else explains purpose.
Adam Omelianchuk Richard Choi, DO Um..no..we have not “widely misunderstood” the purpose, and it has nothing to do with toxicity to the heart, I mean great if true but irrelevant.
Interesting article summarizing #NRP and why cross-clamping is done. Notably, it is not to ensure brain death or prevent resuscitation, but rather to prevent injury to the heart. Would be curious what Christos Lazaridis and Richard Choi, DO think about this :) journals.lww.com/co-transplanta…