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1 results

  • Aligning the Criterion and Tests for Brain Death

  • JAMES L. BERNAT, ANNE L. DALLE AVE
  • Journal:
    Cambridge Quarterly of Healthcare Ethics / Volume 28 / Issue 4 / October 2019
    Published online by Cambridge University Press:
    17 September 2019, pp. 635-641

  • Disturbing cases continue to be published of patients declared brain dead who later were found to have a few intact brain functions. We address the reasons for the mismatch between the whole-brain criterion and brain death tests, and suggest solutions. Many of the cases result from diagnostic errors in brain death determination. Others probably result from a tiny amount of residual blood flow to the brain despite intracranial circulatory arrest. Strategies to lessen the mismatch include improving brain death determination training for physicians, mandating a test showing complete intracranial circulatory arrest, or revising the whole-brain criterion.