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Table 5 Items described in the protocols

From: Variability in protocols on donation after circulatory death in Europe

Country Criteria for determination of death and diagnostic procedures Death determined by No-touch time (minutes) Preservation method
Austria Asystole, not specified Treating physician with jus practicandi 10 Laparotomy with direct cannulation
Belgium Cardiorespiratory criteria, according to most recent standarda Three independent physicians 5 Laparotomy with direct cannulation
Czech Republicb Not described Independent physician, not involved in donation 10 DBTL catheter
France Cardiorespiratory criteria, unconsciousness, absence of brainstem reflexes. ECG Independent physician, not involved in donation 5 nECMO, DBTL catheter
Italy Asystole, isoelectric ECG to confirm Treating physician 20 nECMO
Latviab Not described Intensivist 15 Laparotomy with direct cannulation, DBTL catheter
The Netherlands Cardiocirculatory arrest, not specified Treating physician 5 Laparotomy with direct cannulation, DBTL catheter
United Kingdoma Cardiocirculatory arrest, unconsciousness. Intra-arterial pressure monitoring, ECG during 5 minutes. After 5 minutes, absence of brainstem reflexes confirmed Treating physician 5 Laparotomy with direct cannulation, DBTL catheter
Spain Asystole, apnea, no response to stimuli. ECG to confirm Treating physician 5 ECMO, nECMO, DBTL catheter
Switzerland Lege artis, referred to specific guidelines, TTE to confirm asystole Two independent physicians 10 Laparotomy with direct cannulation
  1. DBTL, double balloon, triple lumen; ECG, electrocardiogram; ECMO, extracorporeal membrane oxygenation; nECMO, normothermic extracorporeal membrane oxygenation; TTE, transthoracic echocardiogram.
  2. aVariation in regional protocols. bDonation after circulatory death not described in a protocol.