PMID: 9531764Apr 9, 1998Paper

Inconsistency between clinical practice and the medical terminology in criteria for the determination of brain death

Lijec̆nic̆ki vjesnik
E Perusko

Abstract

Transplantation of odd organs such as heart, liver, pancreas and alike is possible only through dead donors and cadavers, so the study and research into the exact time of death is of paramount importance. It is understood that a person is dead when the brain is dead, and from that moment on there is no reason to sustain or prolong the life of the remaining living cells, so called vegetating living, as governed by the Criteria for brain death. In our country the criteria are dated 1982 and the article 5 was subsequently changed in 1991. We noticed that some articles of the Criteria were incorrect. The article 4, paragraph 9, should be altered because the 3-minute apnea testing is not sufficiently long. The laws and various criteria many times lag behind the actual practice in everyday life. This also applies to other laws and regulations in connection with medical practice, which although is developing fast is kept at bay due to slow changes of the laws. This is the case of the criteria regarding the brain death which have been adopted without any further thought from the criteria of former Yugoslavia. Due to this there have been disagreements regarding medical terminology and the laws which govern clinical results. Article 5 fr...Continue Reading

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