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Commentary: False Positives in the Diagnosis of Brain Death

Michael Nair-Collins & Franklin G. Miller

Cambridge Quarterly of Healthcare Ethics 28 (4):648-656 (2019)

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Aligning the Criterion and Tests for Brain Death.James L. Bernat & Anne L. Dalle Ave - 2019 - Cambridge Quarterly of Healthcare Ethics 28 (4):635-641.details Abstract: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 (...) Download Export citation Bookmark 10 citations
The Ethics of Continued Life‐Sustaining Treatment for those Diagnosed as Brain‐dead.Jessica Toit & Franklin Miller - 2015 - Bioethics 30 (3):151-158.details Given the long-standing controversy about whether the brain-dead should be considered alive in an irreversible coma or dead despite displaying apparent signs of life, the ethical and policy issues posed when family members insist on continued treatment are not as simple as commentators have claimed. In this article, we consider the kind of policy that should be adopted to manage a family's insistence that their brain-dead loved one continues to receive supportive care. We argue that while it would be ethically (...) Download Export citation Bookmark 3 citations
Can the Brain-Dead Be Harmed or Wronged?: On the Moral Status of Brain Death and its Implications for Organ Transplantation.Michael Nair-Collins - 2017 - Kennedy Institute of Ethics Journal 27 (4):525-559.details The dead donor rule, which requires that organ donors not be killed by the process of organ procurement, is thought to protect vulnerable patients from exploitation and from being harmed through organ procurement. In current practice, the majority of transplantable organs are retrieved from patients who are declared dead by neurological criteria, or "brain-dead." Because brain death is considered to be sufficient for death, it is thought that brain-dead donors are neither harmed nor wronged by organ removal.In this essay I (...) Download Export citation Bookmark 8 citations

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