Elective Ventilation Policy Statements - ELECTIVE VENTILATION UNDER REVIEW Passed by the NKF September 1997 (Amended 2008) The National Kidney Federation supports the use of elective ventilation. Note Elective ventilation is a procedure that can maintain organs in a viable condition so that they may be made available for transplantation. It applies only to a particular group of people who are in deep coma following a massive brain hemorrhage and medical opinion is that there is no chance of recovery. The patient is moved from a general ward into intensive care and placed on a ventilator for the purpose of organ donation. Artificial respiration starts after natural breathing ceases. Death is confirmed by tests on the brain stem.