Intensive Care Med (2017) 43:1383–1385 DOI 10.1007/s00134-017-4676-5 WHAT ’S NE W IN INTENSIVE C ARE Death determined by neurological criteria: the next steps 1,2* 3,4 M. Smith and G. Citerio © 2017 Springer-Verlag Berlin Heidelberg and ESICM Death has important medical, legal and societal impli- approach is that the brainstem is responsible for con- cations making it imperative that its determination is sciousness, breathing and circulatory regulation, and accurate, reliable and certain. Despite it being more than conducts virtually all throughput to and from the brain 40 years since the concept of ‘brain death’ was first intro - . Since the permanent loss of all measurable brainstem duced into clinical practice, many of the controversies function equals death, and this is assessable clinically, that surround the determination of death by neurologi- continuing to highlight differences between whole brain cal criteria (DNC), a more focused and accurate descrip- and brainstem approaches to the determination of DNC tion of the process, have not been settled and present an is unnecessary and unhelpful . Furthermore, the clini- opportunity for future research and education to clarify cal determination of whole brain and brainstem death is outstanding issues in order to reduce professional and identical, requiring confirmation
Intensive Care Medicine – Springer Journals
Published: Jan 24, 2017
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