+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Reversal to whole-brain death criteria after 15-year experience with brain stem death criteria in Poland



Reversal to whole-brain death criteria after 15-year experience with brain stem death criteria in Poland



Transplantation Proceedings 41(8): 2959-2960



Polish brain-death criteria, similar to the original Harvard criteria, were published in 1984. In 1990, they were converted to brainstem death criteria, and were revised twice, in 1994 and in 1996. However, they could not be used in many complicated clinical situations such as intoxication, metabolic alterations, major facial injury, infratentorial lesions, and cervical spinal cord injury. The new Polish Transplant Act, passed by the Polish Parliament in 2005, recommends implementation of criteria for whole-brain death for brain-death diagnosis. In 2007, the Polish Ministry of Health Commission outlined new Polish brain-death criteria. Optional use of instrumental confirmatory tests was implemented in the new Polish national code of practice for the diagnosis of brain death in adults. In children up to age 2 years, instrumental tests are obligatory. Initially, there were problems in understanding the new, slightly more complicated classifications of primary and secondary brain injuries, infratentorial and supratentorial processes, modified apnea test. A broad commentary that addressed the most frequently asked questions was published in Anesthesiology and Intensive Therapy, the official journal of the Polish Society of Anaesthesiology and Intensive Therapy. This article dealt with most of the problems associated with implementation of the new criteria for diagnosis of brain death.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 055555907

Download citation: RISBibTeXText

PMID: 19857649

DOI: 10.1016/j.transproceed.2009.07.079


Related references

Criteria of brain death: 3d generation. Interpretation of criteria established by the Federal Chamber of Physicians in determining brain death. Anasthesie Intensivtherapie Notfallmedizin 22(1): 17-20, 1987

Critical issues debates: intervention for infants with fatal heart disease, xenografting, and brain death criteria for anencephalic infants. Debate III. Resolved: brain death criteria must be revised so that society can readily benefit from families who offer their anencephalic infants as organ donors. Journal of Heart and Lung Transplantation 12(6 Pt.2): S369-S378, 1993

About the introduction the criteria of brain death in Poland in 1984. Polski Merkuriusz Lekarski 41(243): 169-172, 2016

Importance of early diagnosis of brain death for better utilization of the organs of the donor patient. Angiographic criteria of brain death. Minerva Anestesiologica 40(1): 31-34, 1974

Criteria for the diagnosis of brain death: report of the committee for investigation of brain death in Osaka University, School of Medicine. Medical Journal of Osaka University 36(1-2): 29-34, 1985

A historical overview of Japanese brain death criteria and medical and social arguments against brain death in Japan. Minerva Anestesiologica 60(10): 615-617, 1994

Criteria for brain stem death. Professional Nurse 2(11): 357-359, 1987

Criteria for diagnosing brain stem death. Bmj 301(6743): 108-109, 1990

Criteria for the diagnosis of brain stem death. Journal of the Royal College of Physicians of London 29(5): 381-382, 1995

New Japanese criteria of brain death. Brain Death Study Group. Neurosurgical Review 12(Suppl. 1): 265-275, 1989

Criteria of brain death. Brain death discussion without time-table. Sygeplejersken 87(22): 6-9 30, 1987

Minnesota Medical Association Criteria. Brain death. Concept and criteria. Minnesota Medicine 61(9): 561-563, 1978

Ethical dilemma: Discontinuation of ventilation after brain stem death To whom is our duty of care? Policy should be balanced with concern for the family Brain stem death defines death in law. BMJ 318(7200): 1753-1755, 1999

Criteria of death. Heart death or brain death--is it the same death?. Sygeplejersken 86(23): 22-28, 1986

The EEG in establishing brain death. A 10-year report with criteria and legal safeguards in the 50 states. Electroencephalography and Clinical Neurophysiology 24(3): 283-284, 1968