Ethics of deceased organ donation and normothermic regional perfusion: donors are ‘dead enough’

These findings are a significant ethical quandary that threatens to eliminate the use of NRP and jeopardize the benefits mainly to recipients of hearts and lungs. The declaration of death, violation of the dead donor rule, informed consent, and public perception are the main moral criticisms of NRP. Neither the declaration of death nor the dead donor rule is violated, and justice is served through the provision of informed consent, thereby preserving public trust and the donors' wishes.