Brain Death Criteria: Medical Dogma and Outliers.


Journal

The Yale journal of biology and medicine
ISSN: 1551-4056
Titre abrégé: Yale J Biol Med
Pays: United States
ID NLM: 0417414

Informations de publication

Date de publication:
12 2019
Historique:
entrez: 24 12 2019
pubmed: 24 12 2019
medline: 25 6 2020
Statut: epublish

Résumé

The diagnosis of brain death (BD) is legally and medically accepted. Recently, several high-profile cases have led to discussions regarding the integrity of current criteria, and many physiologic problems have been identified to support the necessity for their reevaluation. These include a global variability of the criteria, the suggestion of a clinical "hierarchy," and the resultant approximation of BD. Further ambiguity has been exposed through case reports of reversible BD, and an inconsistent understanding from physicians who are viewed as experts in this domain. Meeting BD criteria clearly does not equate to a physiologic "death" of the brain, and a greater community perspective should be considered as the dialogue moves forward.

Identifiants

pubmed: 31866791
pmc: PMC6913809

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

751-755

Informations de copyright

Copyright ©2019, Yale Journal of Biology and Medicine.

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Auteurs

Molly Rayner (M)

College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Maha Mansoor (M)

College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Tanya Holt (T)

Division of Critical Care, Department of Pediatrics, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Gregory Hansen (G)

Division of Critical Care, Department of Pediatrics, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

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Classifications MeSH