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A critique on the concept of "brain death"
Since the concept of "brain death" was introduced in medical terminology, enough evidence has come to light to show that the concept is based on an unclear and incoherent theory. The "brain death" concept suffers by internal inconsistencies in both the tests-criterion and the cri...
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Published in: | Issues in law & medicine 2002-09, Vol.18 (2), p.127-141 |
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description | Since the concept of "brain death" was introduced in medical terminology, enough evidence has come to light to show that the concept is based on an unclear and incoherent theory. The "brain death" concept suffers by internal inconsistencies in both the tests-criterion and the criterion-definition relationships. It is also evident that there are residual vegetative functions in "brain dead" patients. Since the content of consciousness is inaccessible in these patients who are in a profound coma, the diagnosis of "brain death" is based on an unproved hypothesis. A critical evaluation of the role and the limitations of the confirmatory tests in the diagnosis of "brain death" is attempted. Finally it is pointed out that a holistic approach to the problem of "brain death" in humans should necessarily include the inspection of the content of consciousness. |
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The "brain death" concept suffers by internal inconsistencies in both the tests-criterion and the criterion-definition relationships. It is also evident that there are residual vegetative functions in "brain dead" patients. Since the content of consciousness is inaccessible in these patients who are in a profound coma, the diagnosis of "brain death" is based on an unproved hypothesis. A critical evaluation of the role and the limitations of the confirmatory tests in the diagnosis of "brain death" is attempted. Finally it is pointed out that a holistic approach to the problem of "brain death" in humans should necessarily include the inspection of the content of consciousness.</description><identifier>ISSN: 8756-8160</identifier><identifier>EISSN: 2377-6463</identifier><identifier>PMID: 12479157</identifier><language>eng</language><publisher>United States: National Legal Center for the Medically Dependent & Disabled, Inc</publisher><subject>Analysis ; Bioethics ; Brain - blood supply ; Brain damage ; Brain death ; Brain Death - diagnosis ; Brain Death - physiopathology ; Electroencephalography ; Evoked Potentials, Auditory ; Evoked Potentials, Somatosensory ; Holistic Health ; Humans ; Medical ethics ; Persistent Vegetative State - physiopathology ; Regional Blood Flow ; Theory ; Ultrasonography, Doppler, Transcranial ; Unconsciousness - physiopathology</subject><ispartof>Issues in law & medicine, 2002-09, Vol.18 (2), p.127-141</ispartof><rights>COPYRIGHT 2002 National Legal Center for the Medically Dependent & Disabled, Inc.</rights><rights>Copyright National Legal Center for the Medically Dependent & Disabled Inc. 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Finally it is pointed out that a holistic approach to the problem of "brain death" in humans should necessarily include the inspection of the content of consciousness.</description><subject>Analysis</subject><subject>Bioethics</subject><subject>Brain - blood supply</subject><subject>Brain damage</subject><subject>Brain death</subject><subject>Brain Death - diagnosis</subject><subject>Brain Death - physiopathology</subject><subject>Electroencephalography</subject><subject>Evoked Potentials, Auditory</subject><subject>Evoked Potentials, Somatosensory</subject><subject>Holistic Health</subject><subject>Humans</subject><subject>Medical ethics</subject><subject>Persistent Vegetative State - physiopathology</subject><subject>Regional Blood Flow</subject><subject>Theory</subject><subject>Ultrasonography, Doppler, Transcranial</subject><subject>Unconsciousness - physiopathology</subject><issn>8756-8160</issn><issn>2377-6463</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>BGRYB</sourceid><sourceid>M0O</sourceid><recordid>eNqN0U9LwzAYBvAgipvTryBlBxGx0CTNv-MYOgdDD-o5pG3aZXTJTFPQb2-GE53sIDm8EH48PC_vERgizFhKc4qPwZAzQlMOaTYAZ123yrIMZoKcggFEOROQsCG4mSSlN8G89TpxNglLnZTOlnoTElcn48IrY5NKq7Acn4OTWrWdvtjNEXi9v3uZPqSLp9l8OlmkTZ6hkHJEioILRQQs8lwVTDBNdE0qJhAUquZEMM5zAnHsQyCtcEUwxpyVqIjdCR6Bq6_cjXexVhfk2nSlbltltes7yRBjiEIR4fgPXLne29hNIkgQF0jwH9SoVktjaxe8KreJciIoRFjQbdLtAdRoq71qndW1id-_eXqAx1fptSkP-es9H0nQ76FRfdfJ-fPjfymfLfbo5W79vljrSm68WSv_Ib-Piz8BU4OZWg</recordid><startdate>20020922</startdate><enddate>20020922</enddate><creator>Karakatsanis, K G</creator><creator>Tsanakas, J N</creator><general>National Legal Center for the Medically Dependent & Disabled, Inc</general><general>National Legal Center for the Medically Dependent and Disabled Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>8GL</scope><scope>ISN</scope><scope>ILT</scope><scope>0-V</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AM</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K7.</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0O</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20020922</creationdate><title>A critique on the concept of "brain death"</title><author>Karakatsanis, K G ; 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subjects | Analysis Bioethics Brain - blood supply Brain damage Brain death Brain Death - diagnosis Brain Death - physiopathology Electroencephalography Evoked Potentials, Auditory Evoked Potentials, Somatosensory Holistic Health Humans Medical ethics Persistent Vegetative State - physiopathology Regional Blood Flow Theory Ultrasonography, Doppler, Transcranial Unconsciousness - physiopathology |
title | A critique on the concept of "brain death" |
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