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Pediatric Brain Death and Organ/Tissue Retrieval - Medical, Ethical, and Legal Aspects (Paperback, Softcover reprint of the original 1st ed. 1989)
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Pediatric Brain Death and Organ/Tissue Retrieval - Medical, Ethical, and Legal Aspects (Paperback, Softcover reprint of the original 1st ed. 1989)
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The death 'Of a child, 'One wh'Ose vulnerability and unfilled
promise c'Omp'Ounds the tragedy 'Of any death, t'Ouches us deeply.
When that death 'Occurs due t'O the generally unexpected and sudden
loss 'Of brain functi'On, it is particularly P'Oignant. And yet,
when death c'Omes, it sh'Ould be diag- nosed expediti'Ously. The
professi'Onal resP'Onsibilities 'Of the physician require that he
b'Oth rec- 'Ognize brain death and inf'Orm the family 'Of its
occurrence. In additi'On, since recent advances in transplantati'On
provide the P'Ossibility 'Of using the 'Organs 'Of a brain-dead
child t'O save the lives 'Of 'Other children, the c'Oncepts 'Of
beneficence an~ charity further c'Ompel physicians t'O facilitate
such transplantati'Ons by inf'Orming the family about this
P'Ossibility. Criteria 'Of brain death have been refined 'Over
about 30 years since the term coma depasse (bey'Ond c'Oma) was
coined by M'Ollaret and G'Oulon in 1957 (Kaufman and Lynn, 1986).
The last maj'Or criteria ev'Olved 'On a nati'Onal level were th'Ose
'Of the President's C'Ommissi'On in 1981. H'Owever, studies t'O
date have c'Oncentrated 'On adults, and relatively little work has
been rep'Orted ab'Out devel'Oping brain death criteria f'Or the
y'Oung. Indeed, the advis'Ors t'O the President's Com- missi'On
suggested that there are significant-although n'Ot well
defined~ifferences in the ability of the brains 'Of th'Ose under
five years 'Of age t'O rec'Over from clinical states that W'Ould be
accepted as indicative 'Of c'Omplete and irreversible l'OSS of
brain functi'On in adults.
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