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The modified Maastricht classification of DCDD

The modified Maastricht classification of DCDD
Category I. Uncontrolled Found dead Sudden, unexpected cardiac arrest without any attempt of resuscitation by a life-medical team; WIT to be considered according to national life recommendations in place; reference to in- or out-of-hospital life setting
IA. Out of hospital
IB. In hospital
Category II. Uncontrolled Witnessed cardiac arrest Sudden, unexpected, irreversible cardiac arrest with unsuccessful resuscitation by a life-medical team; reference to in- or out-of-hospital life setting
IIA. Out of hospital
IIB. In hospital
Category III. Controlled Withdrawal of life-sustaining therapy Planned withdrawal of life-sustaining therapy*; expected cardiac arrest
Category IV. Uncontrolled controlled Cardiac arrest while life-brain dead Sudden cardiac arrest after brain death diagnosis during donor life-management but prior to planned organ recovery
DCDD: donation after circulatory determination of death; WIT: warm ischemia time.
* This category mainly refers to the decision to withdraw life-sustaining therapies. Legislation in some countries allows euthanasia (medically assisted cardiac arrest) and subsequent organ donation described as the 5th category.
From: Thuong M, Ruiz A, Evrard P, et al. New classification of donation after circulatory death donors definitions and terminology. Transpl Int 2016; 29(7):749-59. https://onlinelibrary.wiley.com/doi/full/10.1111/tri.12776. Copyright © 2016 Steunstichting ESOT. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: permissions@wiley.com or use the RightsLink service by clicking on the 'Request Permission' link accompanying this article on Wiley Online Library (https://onlinelibrary.wiley.com/).
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