Brain Death View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2014

AUTHORS

Sam D. Shemie , Sonny Dhanani

ABSTRACT

The concept of brain death was influenced by two major advances in health care in the 1960s: the development of intensive care units with artificial airways and mechanical ventilators that treated irreversible apnea, thus interrupting the natural evolution from brain failure to cardiocirculatory death, and, to address ethical concerns associated with organ donation arising from the then-new discipline of transplant surgery. Brain death is defined as the irreversible loss of the capacity for consciousness combined with the irreversible loss of all brainstem functions, including the capacity to breathe. For patients who die as a result of severe brain injury, standard end-of-life care should include offering the option of organ and tissue donation for eligible patients. All patients who are suspected of being brain dead should have an assessment to document this fact, to diagnose death, and establish donor eligibility. This chapter reviews the history of brain death, pathophysiology, and diagnostic criteria for declaration including minimum clinical criteria and ancillary testing. Current variability and practice controversies are discussed. More... »

PAGES

481-495

Book

TITLE

Pediatric Critical Care Medicine

ISBN

978-1-4471-6361-9
978-1-4471-6362-6

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-1-4471-6362-6_37

DOI

http://dx.doi.org/10.1007/978-1-4471-6362-6_37

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1002556301


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