Organ Donation After Oral Ingestion of a Voluntary Assisted Dying Substance.

Abstract

Organ donation after voluntary assisted dying (VAD) is increasingly undertaken in jurisdictions where it is legally permissible, including Australia, although previously all reported cases involved intravenous administration of the life-ending substance. A 55-year-old woman in Victoria has become the first known person to have successfully donated organs and tissues after self-administration of an oral substance, despite initial uncertainty about feasibility due to the unpredictable time to death (agonal phase). With Victorian legislation requiring self-administration as the default, this case provides a precedent, opening the possibility of donation for others in this majority VAD cohort where oral administration is obligatory.