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CMAJ • August 7, 2001; 165 (3)
© 2001 Canadian Medical Association or its licensors


Letters
Correspondance

Debating the criteria for brain death

D. John Doyle

Department of Anesthesia University of Toronto Toronto, Ont.

The article on the bioethics of brain death by Neil Lazar and colleagues does a superb job of covering the basic issues.1 However, one important situation that the authors do not discuss concerns the patient with a massive head injury who meets the criteria for brain death imperfectly, perhaps because a small patch of neurons in a brain-stem nucleus are still operating. In real-world clinical practice such patients have zero chance of survival and so are withdrawn from life support, their organs going to waste.

Reference

  1. Lazar NM, Shernie S, Webster GC, Dickens BM. Bioethics for clinicians: 24. Brain death. CMAJ 2001;164(6):833-6. [Abstract/Free Full Text]




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