Brain stem death - an overview

Jsrg Saran, Jagadish R. Padubidri

Research output: Contribution to journalArticle

Abstract

The concept of brain death has been a very intriguing topic and has taken many forms over the years. Brain stem death is a complex state of inactivity defined by the loss of reflexes of the pathways that pass through the brain stem, the 'shaft' of the brain which links the spinal cord to the cerebral cortex and the cerebellum where there is apnoea, loss of eye movement and pain sensation. There are many criteria, based on which a person can be said to be brain dead. The best recognised of these are the Harvard, Minnesota and Philadelphia criteria. India follows the UK notion of brain stem death, and the Transplantation of Human Organs Act was passed in 1994 by the Indian parliament, which legalised brain-stem death, and in 1995 ordered the brain death certification procedure, which is certified by a 'Board of Medical Experts'. Also, there are some legal and ethical implications that have to be considered in cases of disagreement in diagnosis among the panel of doctors, time of death in cases when patients' relatives disagree or request more time for organ donation or to disconnect the life support system. In routine clinical practice, the issues pertaining to brain stem death should be dealt with by experienced physicians, counselling the family members or relatives and educating them about organ donation.

Original languageEnglish
Pages (from-to)18-20
Number of pages3
JournalThe Medico-legal journal
Volume87
Issue number1
DOIs
Publication statusPublished - 01-03-2019
Externally publishedYes

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Brain Death
Brain Stem
Tissue and Organ Procurement
Life Support Systems
Eye Pain
Kinesthesis
Certification
Organ Transplantation
Apnea
Eye Movements
Cerebral Cortex
Cerebellum
Reflex
Counseling
India
Spinal Cord
Physicians
Brain

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Saran, Jsrg ; Padubidri, Jagadish R. / Brain stem death - an overview. In: The Medico-legal journal. 2019 ; Vol. 87, No. 1. pp. 18-20.
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Saran, J & Padubidri, JR 2019, 'Brain stem death - an overview', The Medico-legal journal, vol. 87, no. 1, pp. 18-20. https://doi.org/10.1177/0025817218822008

Brain stem death - an overview. / Saran, Jsrg; Padubidri, Jagadish R.

In: The Medico-legal journal, Vol. 87, No. 1, 01.03.2019, p. 18-20.

Research output: Contribution to journalArticle

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