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Brain Death

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Encyclopedia of Global Bioethics

Abstract

From the 1970s onward, the concept of brain death has become increasingly relevant to the determination of death. In most countries the determination of brain death is legally required before the organs can be taken out of a patient with complete and irreversible loss of consciousness and whose circulation and respiration is artificially maintained. For this reason, the concept of brain death is mainly ethically relevant to the practice of postmortal organ donation. This entry reviews the conceptual and ethical controversies of brain death in relation to organ donation. These controversies show, paradoxically, that ensuring public understanding of the value of organ donation requires that physicians and other stakeholders involved in the transplantation process should be sensitive to medical, social, and transcendent objections to the concept of brain death and to the ethical questions that arise from it.

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References

  • Beecher, H. K., Adams, R. D., Barger, A. C., Curran, W. J., Denny-Brown, D., Farnsworth, D. L., Folch-Pi, J., et al. (1968). A definition of irreversible coma. Report of the Ad Hoc Committee of the Harvard Medical School to examine the definition of brain death. JAMA, 205(6), 337–340. doi:10.1001/jama.1968.03140320031009.

    Article  Google Scholar 

  • Hamdy, S. (2013). Not quite dead: Why Egyptian doctors refuse the diagnosis of death by neurological criteria. Theoretical Medicine and Bioethics, 34, 147–160. doi:10.1007/s11017-013-9245-5.

    Article  Google Scholar 

  • Karakatsanis, K. G., & Tsanakas, J. N. (2002). A critique on the concept of “brain death”. Issues in Law & Medicine, 18(2), 127–141.

    Google Scholar 

  • Kellehear, A. (2008). Dying as a social relationship: A sociological review of debates on the determination of death. Social Science & Medicine, 66, 1533–1544. doi:10.1016/j.socscimed.2007.12.023.

    Article  Google Scholar 

  • Laureys, S. (2005). Death, unconsciousness and the brain. Nature Reviews. Neuroscience, 6, 899–909.

    Article  Google Scholar 

  • Machado, C., Korein, J., Ferrer, Y., Portela, L., de García, M. L., Chinchilla, M., Machado, Y., et al. (2007). The declaration of Sydney on human death. Journal of Medical Ethics, 33(12), 699–703. doi:10.1136/jme.2007.020685.

    Article  Google Scholar 

  • Oliver, M., Woywodt, A., Ahmed, A., & Saif, I. (2010). Organ donation, transplantation and religion. Nephrology, Dialysis, Transplantation, 26, 437–444. doi:10.1093/ndt/gfq628.

    Article  Google Scholar 

  • Padela, A. I., Arozullah, A., & Moosa, E. (2011). Brain death in Islamic ethico-legal deliberation. Challenges for applied Islamic bioethics. Bioethics. doi:10.1111/j.1467-8519.2011.01935.x.

    Google Scholar 

  • Pellegrino, E. D., Bloom, F. E., Carson, B. S., Dresser, R. S., Eberstadt, N. N., Elshtain, J. B., Foster, D. W., et al. (2008). Controversies in the determination of death. A white paper by the presidents’ counsel on bioethics. Washington, DC. www.bioethics.gov

  • Qazi, F., Ewell, J. C., Munawar, A., Asrar, U., & Khan, N. (2013). The degree of certainty in brain death: Probability in clinical and Islamic legal discourse. Theoretical Medicine and Bioethics, 34, 117–131. doi:10.1007/s11017-013-9250-8.

    Article  Google Scholar 

  • Rodríguez-Arias, D. R., Tortosa, J. C., Burant, C. J., Aubert, P., Aulisio, M. P., & Younger, S. J. (2013). One or two types of death? Attitudes of health professionals towards brain death and donation after circulatory death in three countries. Medicine, Health Care, and Philosophy, 16, 457–467. doi:10.1007/s11019-011-9369-1.

    Article  Google Scholar 

  • Truog, R. D. (2007). Brain death – Too flawed to endure, too ingrained to abandon. The Journal of Law, Medicine & Ethics, 35(2), 273–281.

    Article  Google Scholar 

  • Wilkinson, D., & Savulescu, J. (2012). Should we allow organ donation euthanasia? Alternatives for maximizing the number and quality of organs for transplantation. Bioethics, 26(1), 32–48. doi:10.1111/j.1467-8519.2010.01811.x.

    Article  Google Scholar 

  • Zamperetti, N., Bellomo, R., & Ronco, C. (2003). Defining death in non-heart beating organ donors. Journal of Medical Ethics, 29, 182–185. doi:10.1136/jme.29.3.182.

    Article  Google Scholar 

  • Zeiler, K. (2009). Self and other in global bioethics: Critical hermeneutics and the example of different death concepts. Medicine, Health Care, and Philosophy, 12, 137–145. doi:10.1007/s11019-009-9186-y.

    Article  Google Scholar 

Further Readings

  • Machado, C. (2007). Brain death. A reappraisal. New York: Springer.

    Google Scholar 

  • Randhawa, G., & Schicktanz, S. (Eds.). (2013). Public engagement in organ donation and transplantation. Lengerich: Pabst Science Publishers.

    Google Scholar 

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Authors and Affiliations

  1. Department of Medical Humanities, VU University medical center, De Boelelaan 1089a, 1081 HV, Amsterdam, The Netherlands

    Eric J. Ettema

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  1. Eric J. Ettema
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Correspondence to Eric J. Ettema .

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Editors and Affiliations

  1. Duquesne University Center for Healthcare Ethics, Pittsburgh, Pennsylvania, USA

    Henk ten Have

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Ettema, E.J. (2015). Brain Death. In: ten Have, H. (eds) Encyclopedia of Global Bioethics. Springer, Cham. https://doi.org/10.1007/978-3-319-05544-2_66-1

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  • DOI: https://doi.org/10.1007/978-3-319-05544-2_66-1

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  • Online ISBN: 978-3-319-05544-2

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