Brain Death in Children The Loma Linda Experience
The brain-dead child is past cure, hope, and help. Discontinuing respiratory support for this child is simply an affirmation that death has already occurred. Maintenance of life-support systems after unequivocal documentation of brain death is futile and inhuman. Life-support systems cease to be life sustaining after brain death. After documenting brain death, the extraordinary action is not terminating, but continuing, life-support systems. Obviously, an error in this decision-making process is fatal and intolerable. The diagnosis of brain death in children has evolved independently in many centers without universal agreement as to criteria. Discussion is limited to our present-day neurologic management of suspected brain death in children at Loma Linda University School of Medicine.
KeywordsCerebral Blood Flow Sudden Infant Death Syndrome Pediatric Intensive Care Unit Brain Death Reye Syndrome
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