• Neurocritical care · Oct 2022

    A Taxonomy of Objections to Brain Death Determination.

    • Wynne E Morrison and Matthew P Kirschen.
    • Department of Anesthesiology and Critical Care Medicine, Perelman School of Medicine at the University of Pennsylvania, 3401 Civic Center Blvd, Wood 6038, Philadelphia, PA, 19104, USA. morrisonw@chop.edu.
    • Neurocrit Care. 2022 Oct 1; 37 (2): 369-371.

    AbstractFamily objections to evaluating a patient for death by neurologic criteria, or "brain death," are challenging for the family and the medical team. In this article, we categorize brain death evaluation refusals into a taxonomy: informational objections, emotional objections, and principled objections. We offer suggested approaches for clinicians to respond to refusals on the basis of the category. The category of objection may also be important in considering when accommodation of refusals should be considered. The goal in all such situations is to promote compassionate, ethical, and equitable care for the patient and family.© 2022. Springer Science+Business Media, LLC, part of Springer Nature and Neurocritical Care Society.

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