544: Legal Cases Challenging Death by Neurologic Criteria Add Insight Into Family Perspectives

Paquette, Erin Talati; Pinto, V; Renteria, Valerie Alvarez; Frader, Joel

doi:10.1097/01.ccm.0000808500.74778.4b

Cited by 2 publications

(1 citation statement)

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“…201,202 New Publications Related to Requests to Forego a BD/DNC Evaluation or Continue Somatic Support after BD/DNC Studies in the United States and Canada published after the WDBP demonstrated similar findings compared with prior surveys of physicians in the United States about their experience with requests to forego a BD/DNC evaluation or continue somatic support after BD/DC (approximately 50% An Update on BD/DNC since the World Brain Death Project Lewis of physicians involved in BD/DNC determination have received at least one such request). [203][204][205][206][207] Accordingly, in recent years, there have been a myriad of publications debating the need for consent prior to BD/DNC determination and management of objections to the evaluation or discontinuation of organ support. [208][209][210][211][212][213][214][215][216][217][218][219] A 2023 book on controversies related to BD/DNC included detailed discussions of public perspectives on BD/DNC, in general, and specific religious perspectives on BD/DNC (i.e., Christian, Islamic, and Jewish perspectives).…”

Section: Background and Wbdp Recommendationsmentioning

confidence: 99%

An Update on Brain Death/Death by Neurologic Criteria since the World Brain Death Project

Lewis

2024

Semin Neurol

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The World Brain Death Project (WBDP) is a 2020 international consensus statement that provides historical background and recommendations on brain death/death by neurologic criteria (BD/DNC) determination. It addresses 13 topics including: (1) worldwide variance in BD/DNC, (2) the science of BD/DNC, (3) the concept of BD/DNC, (4) minimum clinical criteria for BD/DNC determination, (5) beyond minimum clinical BD/DNC determination, (6) pediatric and neonatal BD/DNC determination, (7) BD/DNC determination in patients on ECMO, (8) BD/DNC determination after treatment with targeted temperature management, (9) BD/DNC documentation, (10) qualification for and education on BD/DNC determination, (11) somatic support after BD/DNC for organ donation and other special circumstances, (12) religion and BD/DNC: managing requests to forego a BD/DNC evaluation or continue somatic support after BD/DNC, and (13) BD/DNC and the law. This review summarizes the WBDP content on each of these topics and highlights relevant work published from 2020 to 2023, including both the 192 citing publications and other publications on BD/DNC. Finally, it reviews questions for future research related to BD/DNC and emphasizes the need for national efforts to ensure the minimum standards for BD/DNC determination described in the WBDP are included in national BD/DNC guidelines and due consideration is given to the recommendations about social and legal aspects of BD/DNC determination.

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