Debate simmers over when doctors should declare brain death

Bioethicists, doctors and lawyers are weighing whether to redefine how someone should be declared dead. A change in criteria for brain death could have wide-ranging implications for patients' care.Benjamin Franklin famously wrote:"In this world nothing can be said to be certain, except death and taxes."

Many experts say the discrepancy needs to be resolved to protect patients and their families, maintain public trust and reconcile what some see as a troubling disconnect between the law and medical practice., a bioethicist and lawyer at Mitchell Hamline School of Law in St. Paul, Minnesota."There's a lot of conflict at the bedside over this at hospitals across the United States. Let's get in front of it and fix it before it becomes a crisis.

But other parts of the brain may continue to function. Specifically, attention has focused on the hypothalamus, which helps manage very basic bodily functions like temperature, blood pressure and hormones. "There has never, ever been a case of a person correctly diagnosed as brain dead where that person has recovered any degree of consciousness," agrees Dr."The American Academy of Neurology proposes putting into law only three specific criteria for the determination of death by neurologic criteria. ACP opposes putting only three criteria into law because doing so would be overly narrow and privileges certain brain functions over others," says Dr.

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