General medical contraindications, such as age, infection, and malignancy, may prevent as many as 18 per cent of those confirmed as brainstem dead from becoming organ donors. Moreover, on occasions there may be important disagreements between transplant co-ordinators, intensive care clinicians, and transplant surgeons regarding general and organ-specific contraindications to donation. This emphasizes the importance of early discussion with the transplant team or co-ordinator about every brain-dead potential donor.
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