Really, most SINCERELY dead

Shaner, D. Malcolm; Orr, Russell; Drought, T.; Miller, Rachel; Siegel, Mark D.

doi:10.1212/01.wnl.0000125281.49635.18

Cited by 12 publications

(5 citation statements)

References 18 publications

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“…60 Thoughtful guidelines have been developed to negotiate and compassionately resolve this conflict. 61,62 Inviting family members to observe the patient's complete unresponsiveness during the brain death examination has been advocated as a solution, 63 but is difficult to manage in practice. 64 Opposition on religious grounds Religious opposition to brain death is an uncommon issue in most communities.…”

Section: Requirementsmentioning

confidence: 99%

Controversies in defining and determining death in critical care

Bernat

2013

Nat Rev Neurol

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Circulatory-respiratory or brain tests are widely accepted for definition and determination of death, but have several controversial issues. Both determinations have been stimulated by organ donation, but must be valid independently of this process. Current controversies in brain death include whether the definition is conceptually coherent, whether the whole-brain or brainstem criterion is correct, whether one neurological examination or two should be required, and when to conduct the examination following therapeutic hypothermia. Controversies about the circulatory determination of death include the minimum duration of asystole that is sufficient for death to be declared, and whether the distinction between permanent and irreversible cessation of circulatory functioning is important. In addition, the goal of organ donation raises issues such as the optimal way to time and conduct the request conversation with family members of the patient, and whether the Dead Donor Rule should be abandoned.

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Section: Requirementsmentioning

confidence: 99%

Controversies in defining and determining death in critical care

Bernat

2013

Nat Rev Neurol

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“…7 The public dialogue about the meaning of death and the ethics of brain-dead organ donation has often been controversial. 8 Presented with a disruptive life event, in this case a hospital organ procurement team seeking consent to take organs from a brain-dead loved one who is warm and breathing sustained on life support, family members would do one of three things, say yes, say no or say they needed more time to consider this decision. It is this third option that is of interest in the current project.…”

Section: Ethical Debate Over Organ Donation In the Context Of Brain Dmentioning

confidence: 99%

Ethical Debate Over Organ Donation in the Context of Brain Death

Bresnahan

Mahler

2009

Bioethics

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This study investigated what information about brain death was available from Google searches for five major religions. A substantial body of supporting research examining online behaviors shows that information seekers use Google as their preferred search engine and usually limit their search to entries on the first page. For each of the five religions in this study, Google listings reveal ethical controversy about organ donation in the context of brain death. These results suggest that family members who go online to find information about organ donation in the context of brain death would find information about ethical controversy in the first page of Google listings. Organ procurement agencies claim that all major world religions approve of organ donation and do not address the ethical controversy about organ donation in the context of brain death that is readily available online.

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“…Es también un hecho que existen opiniones divergentes sobre los mismos problemas, todo lo cual pone de manifiesto que el debate aunque con suficiente consenso no deja de estar abierto [21][22][23] . El debate se ha reactivado en los últimos años, especialmente centrado en los aspectos neurológicos sobre la especificidad y selectividad del concepto "muerte encefálica" y sus problemas de aplicación en la práctica [24][25][26][27][28][29][30][31] .…”

Section: Necesidad De Establecer Unos Parámetros Prácticos Para La Deunclassified

La muerte clínica: un diagnóstico y un testimonio

Trueba

2007

Anales Sis San Navarra

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The clinical death of a person is the death of the brain. There is a fairly general consensus in western medicine on the necessary criteria and the mode of proceeding for a correct diagnosis of "brain death". In a specific case, with a reasonable previous record of catastrophic brain damage and certain neurological exploratory signs, an expert practitioner is able to diagnose clinical death. Accepting that the diagnosis of death is an exercise of diagnostic judgement, in practical application, which cannot as such provide absolute certainty; we have to accept that, in spite of this uncertainty, we have to take sensible and prudent decisions. However, there are dissenting opinions that believe in the need for a higher degree of certainty before taking decisions It is necessary to try to understand the concept of "brain death" in order to be able to take responsible decisions. This concept is a real "cultural construction", in which it is necessary to have knowledge about the scientific definition of death, how death can be diagnosed in practice, when it is possible to say that someone is clinically dead, and what is the degree of evidence carried by the diagnosis.

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Really, most SINCERELY dead

Cited by 12 publications

References 18 publications

Controversies in defining and determining death in critical care

Controversies in defining and determining death in critical care

Ethical Debate Over Organ Donation in the Context of Brain Death

La muerte clínica: un diagnóstico y un testimonio

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