Diagnóstico de Muerte

This paper undertakes an analysis of the scientific criteria used in the diagnosis of death and underscores the importance of intellectual rigor in the definition of medical concepts, particularly regarding such a critical issue as the diagnosis of death. Under the cardiorespiratory criterion, death...

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Autores principales: Echeverría B,Carlos, Goic G,Alejandro, Lavados M,Manuel, Quintana V,Carlos, Rojas O,Alberto, Serani M,Alejandro, Vacarezza Y,Ricardo
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2004
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000100015
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spelling oai:scielo:S0034-988720040001000152014-08-14Diagnóstico de MuerteEcheverría B,CarlosGoic G,AlejandroLavados M,ManuelQuintana V,CarlosRojas O,AlbertoSerani M,AlejandroVacarezza Y,Ricardo Brain death Death Ethics medical Transplantation This paper undertakes an analysis of the scientific criteria used in the diagnosis of death and underscores the importance of intellectual rigor in the definition of medical concepts, particularly regarding such a critical issue as the diagnosis of death. Under the cardiorespiratory criterion, death is defined as «the irreversible cessation of the functioning of an organism as a whole» and the tests used to confirm this criterion (negative life-signs) are sensitive and specific. In this case, cadaverous phenomena appear immediately following the diagnosis of death. On the other hand, doubts have arisen concerning the theoretical and the inner consistency of the criterion of brain death, since it does not satisfy the definition of «the irreversible cessation of the functioning of an organism as a whole», nor the requirement of «total and irreversible cessation of all functions of the entire brain, including the brain stem». There is evidence to the effect that the tests used to confirm this criterion are not specific enough. It is clear that brain death marks the beginning of a process that eventually ends in death, though death does not occur at that moment. From an ethical point of view, the conflict arises between the need to provide an unequivocal diagnosis of death and the possibility of saving a life through organ transplantation. The sensitive issue of brain death calls for a more thorough and in-depth discussion among physicians and the community at large (Rev Méd Chile 2004; 132: 95-107).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.1 20042004-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000100015es10.4067/S0034-98872004000100015
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Brain death
Death
Ethics
medical
Transplantation
spellingShingle Brain death
Death
Ethics
medical
Transplantation
Echeverría B,Carlos
Goic G,Alejandro
Lavados M,Manuel
Quintana V,Carlos
Rojas O,Alberto
Serani M,Alejandro
Vacarezza Y,Ricardo
Diagnóstico de Muerte
description This paper undertakes an analysis of the scientific criteria used in the diagnosis of death and underscores the importance of intellectual rigor in the definition of medical concepts, particularly regarding such a critical issue as the diagnosis of death. Under the cardiorespiratory criterion, death is defined as «the irreversible cessation of the functioning of an organism as a whole» and the tests used to confirm this criterion (negative life-signs) are sensitive and specific. In this case, cadaverous phenomena appear immediately following the diagnosis of death. On the other hand, doubts have arisen concerning the theoretical and the inner consistency of the criterion of brain death, since it does not satisfy the definition of «the irreversible cessation of the functioning of an organism as a whole», nor the requirement of «total and irreversible cessation of all functions of the entire brain, including the brain stem». There is evidence to the effect that the tests used to confirm this criterion are not specific enough. It is clear that brain death marks the beginning of a process that eventually ends in death, though death does not occur at that moment. From an ethical point of view, the conflict arises between the need to provide an unequivocal diagnosis of death and the possibility of saving a life through organ transplantation. The sensitive issue of brain death calls for a more thorough and in-depth discussion among physicians and the community at large (Rev Méd Chile 2004; 132: 95-107).
author Echeverría B,Carlos
Goic G,Alejandro
Lavados M,Manuel
Quintana V,Carlos
Rojas O,Alberto
Serani M,Alejandro
Vacarezza Y,Ricardo
author_facet Echeverría B,Carlos
Goic G,Alejandro
Lavados M,Manuel
Quintana V,Carlos
Rojas O,Alberto
Serani M,Alejandro
Vacarezza Y,Ricardo
author_sort Echeverría B,Carlos
title Diagnóstico de Muerte
title_short Diagnóstico de Muerte
title_full Diagnóstico de Muerte
title_fullStr Diagnóstico de Muerte
title_full_unstemmed Diagnóstico de Muerte
title_sort diagnóstico de muerte
publisher Sociedad Médica de Santiago
publishDate 2004
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000100015
work_keys_str_mv AT echeverriabcarlos diagnosticodemuerte
AT goicgalejandro diagnosticodemuerte
AT lavadosmmanuel diagnosticodemuerte
AT quintanavcarlos diagnosticodemuerte
AT rojasoalberto diagnosticodemuerte
AT seranimalejandro diagnosticodemuerte
AT vacarezzayricardo diagnosticodemuerte
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