Brain Death

Publication Title: 
CMAJ: Canadian Medical Association journal = journal de l'Association medicale canadienne

We conducted a telephone survey of parents in the National Capital Region to assess their intention to donate their child's organs and to provide physicians with information that could help alleviate their concerns about approaching parents for consent. Of 339 parents who agreed to answer questions after being given details of their child's "death" 288 (85%) said that they would be willing to donate their child's organs.

Author(s): 
Walker, J. A.
McGrath, P. J.
MacDonald, N. E.
Wells, G.
Petrusic, W.
Nolan, B. E.
Publication Title: 
Journal of transplant coordination: official publication of the North American Transplant Coordinators Organization (NATCO)

The availability of donor organs was analyzed following the placement of a transplant coordinator in Ga-Rankuwa Hospital's kidney transplant program. From February 1, 1992, to January 6, 1994, 44 brain-dead potential donors were identified. In 20 of those cases, relatives could not be reached to acquire consent for donation of cadaveric organs. In the remaining 24 cases, an intensive care resident together with a transplant coordinator obtained consent for 9 potential donors.

Author(s): 
Ndlovu, S. R.
Kobryn, A.
Modiba, M. C.
Publication Title: 
Zygon

This essay argues that Japan's resistance to the practice of transplanting organs from persons deemed "brain dead" may not be the result, as some claim, of that society's religions being not yet sufficiently expressive of love and altruism. The violence to the body necessary for the excision of transplantable organs seems to have been made acceptable to American Christians at a unique historical "window of opportunity" for acceptance of that new form of medical technology.

Author(s): 
LaFleur, William R.
Publication Title: 
The American journal of bioethics: AJOB

Almost 60,000 people in the United States with end stage renal disease are waiting for a kidney transplant. Because of the scarcity of organs from deceased donors live kidney donors have become a critical source of organs; in 2001, for the first time in recent decades, the number of live kidney donors exceeded the number of deceased donors.

Author(s): 
Steinberg, David
Publication Title: 
Transplantation Proceedings

BACKGROUND: Information about brain stem death and donation can be influence the consent rate for donation and its psychosocial effects. The aim of this study was to create a "VIDEO" model that could be used to help physicians to develop communication skills. METHODS: A video recorded 32 simulations of family interviews: 16 under-age and 16 adult donors. They were analyzed during 8 courses conducted in 2008 and 2009. During the VIDEO process, the visual presentation was followed by participants (n=192) discussing interactively the donation situation.

Author(s): 
Smudla, A.
Mih·ly, S.
Heged¸s, K.
Nemes, B.
Fazakas, J.
Publication Title: 
Transplantation

BACKGROUND: Deciding about the organ donation of one's brain-dead beloved often occurs in an unexpected and delicate situation. We explored the decision making of the relatives of potential brain-dead donors, its evaluation, and the factors influencing decision making. METHODS: We used the integrative review method. Our search included 10 databases. Inclusion criteria were presence of the donation request or the subsequent decision process. Three authors independently assessed the eligibility of identified articles.

Author(s): 
de Groot, Jack
Vernooij-Dassen, Myrra
Hoedemaekers, Cornelia
Hoitsma, Andries
Smeets, Wim
van Leeuwen, Evert
Publication Title: 
Harefuah

The new Israeli Organ Transplant Law grants priority in organ allocation to candidates for transplantation who have registered as organ donors at least 3 years prior to being listed or have been Live organ donors or have a first degree relative who has been a deceased donor. This unique law resurrects the old ethical principle of reciprocal altruism in which each partner in society helps the other while he helps himself. The altruist benefits because in time he, in turn, is helped.

Author(s): 
Lavee, Jacob
Publication Title: 
International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics

The clinically detailed report of a successful uterus transplantation and live birth in Sweden, in which a family friend donated her uterus, provides a basis for expanded practice. Family members and friends can serve as living donors without offending legal or ethical prohibitions of paid organ donation, even though family members and friends often engage in reciprocal gift exchanges. Donations from living unrelated sources are more problematic, and there is a need to monitor donors' genuine altruism and motivation. Donation by deceased women-i.e.

Author(s): 
Dickens, Bernard M.
Publication Title: 
Anales De Pediatría (Barcelona, Spain: 2003)

The Bispectral Index (BIS) is a single numeric value that indicates the depth of hypnosis by estimating the level of electrical activity in the brain through analysis of the frequency bands in the electroencephalogram. The BIS was primarily developed to monitor the level of hypnosis during surgery and has recently begun to be used in critically-ill patients. Currently, there is little experience of the BIS in critically-ill children. We present 6 cases that illustrate the utility of BIS monitoring in the PICU.

Author(s): 
Mencía Bartolomé, S.
López-Herce Cid, J.
Lamas Ferreiro, A.
Borrego Domínguez, R.
Sancho Pérez, L.
Carrillo Alvarez, A.
Publication Title: 
Acta Neurochirurgica. Supplement

BACKGROUND: In Japan, almost all culture and civilization were introduced from abroad; in the past from China and now from U.S. and European countries, owing to her geographical features circumscribed by oceans and separated from the continents. Neurosurgical science and practice have been received in the same way as other activities. However, there are some exceptions such as organ transplantation from the brain dead and brain-dock, which means a brain check-up system of asymptomatic brain diseases.

Author(s): 
Ohta, T.

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