Ethical issues surrounding brain death and end-of-life have not been afforded in
Brazil the same attention as in many developed countries. There appears to be
reluctance on the part of Brazilian doctors to limit or suspend procedures or
treatment which prolongs life of patients in terminal phases of severe incurable
illness, or to suspend the artificial means of supporting vegetative functions
in cases of brain death outside the context of organ and tissue donation for
transplant. Fears grounded in possible administrative (Regional Medical
Councils) or legal repercussions, as well as ambiguous interpretations of
religious precepts, partially explain this reluctance which often results in
unnecessary prolonging of patient suffering. A recent resolution by the Federal
Medical Council on end-of-life may offer doctors some guidance and confidence in
dealing with highly complex ethical situations.