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Guidelines for the Determination of Death

Guidelines for the Determination of Death To the Editor.— As the "Guidelines for the Determination of Death" (1981;246:2184) point out, the co-authors do not agree on every detail but do agree on the principles outlined. For instance, valid protocols for apnea testing may vary, but it is generally accepted that a patient who is not apneic is not fully brain-dead. Conversely, some may justifiably argue that the guidelines protocol for apnea testing should contain precautions for patients who have ventilation-perfusion defects or who have had chronic hypercapnea. Others may justifiably argue that apnea testing is unnecessary for the determination of brain death. Nevertheless, the guidelines will still serve a useful purpose for clinicians. We regret that the guidelines are an appendix to the President's Commission's report. The commission was chartered by Congress to study "the ethical and legal implications of... the matter of defining death, including the advisability of developing a uniform definition of death."1 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Guidelines for the Determination of Death

Burroughs, John T.; Furlow, Terrance G.
JAMA , Volume 247 (5) – Feb 5, 1982
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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1982.03320300012008
Publisher site
See Article on Publisher Site

Abstract

To the Editor.— As the "Guidelines for the Determination of Death" (1981;246:2184) point out, the co-authors do not agree on every detail but do agree on the principles outlined. For instance, valid protocols for apnea testing may vary, but it is generally accepted that a patient who is not apneic is not fully brain-dead. Conversely, some may justifiably argue that the guidelines protocol for apnea testing should contain precautions for patients who have ventilation-perfusion defects or who have had chronic hypercapnea. Others may justifiably argue that apnea testing is unnecessary for the determination of brain death. Nevertheless, the guidelines will still serve a useful purpose for clinicians. We regret that the guidelines are an appendix to the President's Commission's report. The commission was chartered by Congress to study "the ethical and legal implications of... the matter of defining death, including the advisability of developing a uniform definition of death."1

Journal

JAMA – American Medical Association

Published: Feb 5, 1982

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