Non-heart-beating Donation - Maastricht Classification

Maastricht Classification

NHBDs are grouped by the Maastricht classification:

I Brought in dead uncontrolled
II Unsuccessful resuscitation
III Awaiting cardiac arrest controlled
IV Cardiac arrest after brain-stem death
V Cardiac arrest in a hospital inpatient uncontrolled (added in 2000)

Categories I, II and V are termed uncontrolled and categories III and IV are controlled. Only tissues such as heart valves and corneas can be taken from category I donors. Category II donors are patients who have had a witnessed cardiac arrest outside hospital, have cardiopulmonary resuscitation by CPR-trained providers commenced within 10 minutes but who cannot be successfully resuscitated. Category III donors are patients on intensive care units with non-survivable injuries who have treatment withdrawn; where such patients wished in life to be organ donors, the transplant team can attend at the time of treatment withdrawal and retrieve organs after cardiac arrest has occurred.

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