Brain Death in Children Guidelines and Experience at the Massachusetts General Hospital

  • Peter McL. Black
  • I. David Todres


The determination of death by brain criteria in children remains an area in which official guidelines are vague but one in which practical needs have mandated the adoption of specific criteria. This chapter presents the guidelines that have been developed for children at the Massachusetts General Hospital (MGH), comments on their use over the past 2 years, and discusses several problems in their practical application.


Pediatric Intensive Care Unit Brain Death Massachusetts General Hospital Apnea Testing Brain Criterion 
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  1. Ad Hoc Committee on Brain Death, The Children’s Hospital, Boston, 1987, Determination of brain death, J. Pediatr. 10: 15–19.Google Scholar
  2. American Encephalographic Society, 1986, Guidelines in EEG, J. Clin. Neurophysiol. 3: 131–168.CrossRefGoogle Scholar
  3. Drake, B., Ashwal, S., and Schneider, S., 1986, Determination of cerebral death in the pediatric intensive care unit, Pediatrics 78: 107–112.PubMedGoogle Scholar
  4. Goodman, J. M., Heck, L. L., and Moore, B. D., 1985, Confirmation of brain death with portable isotope angiography: A review of 204 consecutive cases, Neurosurgery 16: 492–497.PubMedCrossRefGoogle Scholar
  5. Outwater, K. M., and Rockoff, M. A., 1984, Apnea testing to confirm brain death in children, Crit. Care Med. 12: 357–358.PubMedCrossRefGoogle Scholar
  6. President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, 1981, Guidelines for the determination of death, JAMA 246: 2184–2186.CrossRefGoogle Scholar
  7. Rowland, T. W., Donnelly, J. H., and Jackson, A. H., 1984, Apnea documentation for determination of brain death in children, Pediatrics 74: 505–508.PubMedGoogle Scholar
  8. Schwartz, J. A., Baxter, J., and Brill, D. R., 1984, Diagnosis of brain death in children by radionuclide cerebral imaging, Pediatrics 73: 14–18.PubMedGoogle Scholar
  9. Task Force for the Determination of Brain Death in Children, 1987, Guidelines for the determination of brain death in children, Ann. Neurol., 22: 616–617Google Scholar

Copyright information

© Plenum Publishing Corporation 1989

Authors and Affiliations

  • Peter McL. Black
    • 1
    • 2
  • I. David Todres
    • 3
    • 4
  1. 1.Neurosurgical ServiceBrigham and Women’s Hospital and the Children’s HospitalBostonUSA
  2. 2.Department of SurgeryHarvard Medical SchoolBostonUSA
  3. 3.Pediatric Intensive Care UnitMassachusetts General HospitalBostonUSA
  4. 4.Department of Pediatrics and AnesthesiologyHarvard Medical SchoolBostonUSA

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