11 found
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  1.  20
    An Overview of Ethical Issues Raised by Medicolegal Challenges to Death by Neurologic Criteria in the United Kingdom and a Comparison to Management of These Challenges in the USA.Ariane Lewis - 2024 - American Journal of Bioethics 24 (1):79-96.
    Although medicolegal challenges to the use of neurologic criteria to declare death in the USA have been well-described, the management of court cases in the United Kingdom about objections to the use of neurologic criteria to declare death has not been explored in the bioethics or medical literature. This article (1) reviews conceptual, medical and legal differences between death by neurologic criteria (DNC) in the United Kingdom and the rest of the world to contextualize medicolegal challenges to DNC; (2) summarizes (...)
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  2.  32
    Determination of Death by Neurologic Criteria in the United States: The Case for Revising the Uniform Determination of Death Act.Ariane Lewis, Richard J. Bonnie, Thaddeus Pope, Leon G. Epstein, David M. Greer, Matthew P. Kirschen, Michael Rubin & James A. Russell - 2019 - Journal of Law, Medicine and Ethics 47 (S4):9-24.
    Although death by neurologic criteria is legally recognized throughout the United States, state laws and clinical practice vary concerning three key issues: the medical standards used to determine death by neurologic criteria, management of family objections before determination of death by neurologic criteria, and management of religious objections to declaration of death by neurologic criteria. The American Academy of Neurology and other medical stakeholder organizations involved in the determination of death by neurologic criteria have undertaken concerted action to address variation (...)
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  3.  9
    The Case Against Solicitation of Consent for Apnea Testing.Dhristie Bhagat & Ariane Lewis - 2020 - American Journal of Bioethics 20 (6):20-22.
    Volume 20, Issue 6, June 2020, Page 20-22.
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  4.  25
    Medicolegal Complications of Apnoea Testing for Determination of Brain Death.Ariane Lewis & David Greer - 2018 - Journal of Bioethical Inquiry 15 (3):417-428.
    Recently, there have been a number of lawsuits in the United States in which families objected to performance of apnoea testing for determination of brain death. The courts reached conflicting determinations in these cases. We discuss the medicolegal complications associated with apnoea testing that are highlighted by these cases and our position that the decision to perform apnoea testing should be made by clinicians, not families, judges, or juries.
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  5.  31
    Shouldn't Dead Be Dead?: The Search for a Uniform Definition of Death.Ariane Lewis, Katherine Cahn-Fuller & Arthur Caplan - 2017 - Journal of Law, Medicine and Ethics 45 (1):112-128.
    In 1968, the definition of death in the United States was expanded to include not just death by cardiopulmonary criteria, but also death by neurologic criteria. We explore the way the definition has been modified by the medical and legal communities over the past 50 years and address the medical, legal and ethical controversies associated with the definition at present, with a particular highlight on the Supreme Court of Nevada Case of Aden Hailu.
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  6.  30
    The ethics of testing and research of manufactured organs on brain-dead/recently deceased subjects.Brendan Parent, Bruce Gelb, Stephen Latham, Ariane Lewis, Laura L. Kimberly & Arthur L. Caplan - 2020 - Journal of Medical Ethics 46 (3):199-204.
    Over 115 000 people are waiting for life-saving organ transplants, of whom a small fraction will receive transplants and many others will die while waiting. Existing efforts to expand the number of available organs, including increasing the number of registered donors and procuring organs in uncontrolled environments, are crucial but unlikely to address the shortage in the near future and will not improve donor/recipient compatibility or organ quality. If successful, organ bioengineering can solve the shortage and improve functional outcomes. Studying (...)
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  7.  4
    New Reasons to Revise the UDDA: Controversies Related to Death by Circulatory-Respiratory Criteria.Ariane Lewis - 2024 - American Journal of Bioethics 24 (6):44-46.
    The intent of the Uniform Determination of Death Act (UDDA) was to facilitate a consistent legal standard for death and align the law with medical practice throughout the United States subsequent t...
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  8.  20
    The Challenges of Discussing “Longshot” and “Fantasy” Treatments.Aaron Rothstein & Ariane Lewis - 2018 - American Journal of Bioethics 18 (1):27-29.
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  9.  15
    Controversies in Cardiopulmonary Death.Ariane Lewis, Aaron S. Lord, Breehan Chancellor & Michael G. Fara - 2017 - Journal of Clinical Ethics 28 (2):97-101.
    We describe two unusual cases of cardiopulmonary death in mechanically ventilated patients in the neurological intensive care unit. After cardiac arrest, both patients were pulseless for a protracted period. Upon extubation, both developed agonal movements (gasping respiration) resembling life. We discuss these cases and the literature on the ethical and medical controversies associated with determining time of cardiopulmonary death. We conclude that there is rarely a single moment when all of a patient’s physiological functions stop working at once. This can (...)
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  10.  11
    Ethical Challenges in Acute Evaluation of Suspected Psychogenic Stroke Mimics.Ariane Lewis, Michael G. Fara & Alexandra J. Sequeira - 2018 - Journal of Clinical Ethics 29 (3):185-190.
    Tissue plasminogen activator (tPA) is administered to patients with suspected ischemic stroke to improve blood flow to the brain In rare cases, patients present with complaints of stroke symptoms that appear to be non-organic due to malingering, factitious disorder, or conversion disorder (psychogenic stroke mimics). Deciding whether or not to administer tPA to these patients can be challenging. The risk of hemorrhage after administration of tPA is low, but not zero. The ethical principles of beneficence and nonmaleficence need to be (...)
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  11.  14
    No Merit Badge for CPR.Arthur Caplan & Ariane Lewis - 2017 - American Journal of Bioethics 17 (2):43-44.
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