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VOLUME 23 , ISSUE 8 ( August, 2019 ) > List of Articles

COMMENTARY

Redefining Death: Urgent Need to Evolve toward a Homogeneous Definition of Death in India

Sunil Shroff

Keywords : Brainstem death, Circulatory-respiratory criteria for death, Defining death, Ethical issues, Legal issues

Citation Information : Shroff S. Redefining Death: Urgent Need to Evolve toward a Homogeneous Definition of Death in India. Indian J Crit Care Med 2019; 23 (8):368-370.

DOI: 10.5005/jp-journals-10071-23220

License: CC BY-NC 4.0

Published Online: 00-08-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The interdependent circulatory-respiratory criteria and brainstem criteria are used to define death. Continuing life-support in brainstem dead patients is a legal conundrum for the health-care professionals and an ethical worry for the society at large. There is an urgent need to revisit this subject to evolve a more uniform definition of death irrespective of the circumstances. A compelling take-home message from this discussion is to spread awareness about brainstem death amongst healthcare professionals


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  1. Diagnosis of brain death. Statement issued by the honorary secretary of the Conference of Medical Royal Colleges and their faculties in the United Kingdom on 11 October 1976. Br Med J 1976;2:1187–1188.
  2. World Brain Death Project- Determination of brain death/Death by neurological criteria. (Personal communication- Version 2019-07-05).
  3. Shroff S, Navin S. “Brain death” and “circulatory death”: Need for a uniform definition of death in India. Indian Journal of Medical Ethics. 2018;3:321–323.
  4. The Registration of Births and Deaths Act, 1969. Available from: https://indiacode.nic.in/bitstream/123456789/1682/1/196918.pdf
  5. The Transplantation of Human Organs Act, 1994. Available from: https://www.mohfw.gov.in
  6. Said A, Amer AJ, Masood UR, Dirar A, Faris C. A brain-dead pregnant woman with prolonged somatic support and successful neonatal outcome: A grand rounds case with a detailed review of literature and ethical considerations. Int J Crit Ill Inj Sci. 2013;3:220–224.
  7. President’s Council on Bioethics. Controversies in the Determination of Death: A White Paper by the President’s Council on Bioethics. Washington, DC: President’s Council on Bioethics; 2008.
  8. https://www.indexmundi.com/india/demographics_profile.html
  9. Indian Transplant Newsletter. Vol. 14, Issue No. 44.
  10. The Gazette of India: Extraordinary. Available from: https://www.notto.gov.in/WriteReadData/Portal/images/THOA-amendment-2011.pdf
  11. The Gazette of India: Extraordinary. Available from: https://www.notto.gov.in/WriteReadData/Portal/images/THOA-Rules-2014.pdf
  12. Government of Maharashtra, Public Health Department, Government Resolution No. MAP2012/C.R.289/AROGYA-6.Mumbai: Mantralaya; 2012. Sep 13.
  13. Lewis A, Greer D. Medicolegal complications of apnoea testing for determination of brain death. Bioethical Inquiry. 2018;15:417–428.
  14. Sethi NK, Sethi PK. Brainstem death: Implications in India. JAPI. 2003;51:910–911.
  15. Burkle CM, Sharp RR, Wijdicks EF. Why brain death is considered death and why there should be no confusion. Neurology. 2014;83:1464–1469.
  16. Smith M. Brain death: time for an international consensus] Br J Anaesthesia. 2012:108:i6-i9.
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