:Disturbing cases continue to be published of patients declared brain dead who later were found to have a few intact brain functions. We address the reasons for the mismatch between the whole-brain criterion and brain death tests, and suggest solutions. Many of the cases result from diagnostic errors in brain death determination. Others probably result from a tiny amount of residual blood flow to the brain despite intracranial circulatory arrest. Strategies to lessen the mismatch include improving brain death determination training for physicians, mandating a test showing complete intracranial circulatory arrest, or revising the whole-brain criterion.
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DOI 10.1017/s0963180119000574
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Commentary: False Positives in the Diagnosis of Brain Death.Michael Nair-Collins & Franklin G. Miller - 2019 - Cambridge Quarterly of Healthcare Ethics 28 (4):648-656.
The intractable problems with brain death and possible solutions.Ari R. Joffe, Gurpreet Khaira & Allan R. de Caen - 2021 - Philosophy, Ethics, and Humanities in Medicine 16 (1):1-27.
Commentary: Defining Death: Definitions, Criteria, and Tests.Robert D. Truog - 2019 - Cambridge Quarterly of Healthcare Ethics 28 (4):642-647.

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