Organ donation with Maastricht III procedure: do we have enough ethical safeguards?

Abstract

There are still many ethical controversies surrounding organ donation according to the Maastricht III (MIII) procedure. Utilitarianism fear is in the first line of these concerns. Several ethical safeguards included in this article can be proposed to help for
acceptance of the M III concept: M III should not be the only one target to fight against graft shortage; withdrawing decision
procedures should be strictly applied in accordance with Claeys Leonetti law without any interference with the donation team;
explicit consent for organ donation should be obtained, signifying without ambiguity the respect of the patient’s will; sedation
protocols associated with life support withdrawal should be similar in every end-of-life procedure whatever M III procedure is
running or not.