In 2016, the Canadian Critical Care Society published a withdrawal of life sustaining measures (WLSM) guideline with the intent of standardizing WLSM practices and quality assurance frameworks.
A crucial aspect of the DCD process, Canadian Blood Services convened a pan-Canadian and multidisciplinary collaborative to examine the WLSM guideline and create implementation and quality tools to support the adoption of the guideline in hospitals across the country.
A set of guiding principles for implementation of the guideline in DCD practice were produced, as well as implementation and quality assurance tools.
Francoeur C, Hornby L, Silva A, Scales NB, Weiss M, Dhanani S. Paediatric death after withdrawal of life-sustaining therapies: a scoping review protocol. BMJ Open. 2022 Sep 19;12(9):e064918. doi: 10.1136/bmjopen-2022-064918.PMID: 36123110
Healey, A., Hartwick, M., Downar, J. et al. Improving quality of withdrawal of life-sustaining measures in organ donation: a framework and implementation toolkit. Can J Anesth/J Can Anesth (2020).
Downar J, Delaney JW, Hawryluck L, Kenny L. Guidelines for the withdrawal of life-sustaining measures. Intensive Care Med. 2016;42(6):1003-1017.
PDF copies of the following reports are available by request. Submit a request by sending an email to OTDT@blood.ca, please include the title and use the subject line: PDF Document Request.
For additional resources, visit the Withdrawal of Life Sustaining Measures Resources page.
Quality Assurance Tools