Accepting Brain Death

作者:Magnus David C*; Wilfond Benjamin S; Caplan Arthur L
来源:New England Journal of Medicine, 2014, 370(10): 891-894.
DOI:10.1056/NEJMp1400930

摘要

The cases of Jahi McMath and Marlise Munoz have reopened public debate about brain death. But the law and ethics have long recognized that deferring to medical expertise regarding the diagnosis of brain death is the most reasonable way to manage the process of dying. Two cases in which patients have been determined to be dead according to neurologic criteria (brain death) have recently garnered national headlines. In Oakland, California, Jahi McMath's death was determined by means of multiple independent neurologic examinations, including one ordered by a court. Her family refused to accept that she had died and went to court to prevent physicians at Children's Hospital and Research Center in Oakland from discontinuing ventilator support. Per a court-supervised agreement, the body was given to the family 3 weeks after the initial determination. The family's attorney stated that ventilatory support was continued and nutritional support ...

  • 出版日期2014-3-6