A brain-based definition of death and criteria for its determination after arrest of circulation or neurologic function in Canada: a 2023 clinical practice guideline.

Abstract

This 2023 Clinical Practice Guideline provides the biomedical definition of death based on permanent cessation of brain function that applies to all persons, as well as recommendations for death determination by circulatory criteria for potential organ donors and death determination by neurologic criteria for all mechanically ventilated patients regardless of organ donation potential. This Guideline is endorsed by the Canadian Critical Care Society, the Canadian Medical Association, the Canadian Association of Critical Care Nurses, Canadian Anesthesiologists' Society, the Canadian Neurological Sciences Federation (representing the Canadian Neurological Society, Canadian Neurosurgical Society, Canadian Society of Clinical Neurophysiologists, Canadian Association of Child Neurology, Canadian Society of Neuroradiology, and Canadian Stroke Consortium), Canadian Blood Services, the Canadian Donation and Transplantation Research Program, the Canadian Association of Emergency Physicians, the Nurse Practitioners Association of Canada, and the Canadian Cardiovascular Critical Care Society.

• Authors: Sam D Shemie, Lindsay C Wilson, Laura Hornby, John Basmaji, Andrew J Baker, Cécile M Bensimon, Jennifer A Chandler, Michaël Chassé, Rosanne Dawson, Sonny Dhanani, Owen T Mooney, Aimee J Sarti, Christy Simpson, Jeanne Teitelbaum, Sylvia Torrance, J Gordon Boyd, Joanne Brennan, Heather Brewster, Robert Carignan, Kirk J Dawe, Christopher J Doig, Kennedy Elliott-Pohl, Teneille E Gofton, Michael Hartwick, Andrew Healey, Kimia Honarmand, Karen Hornby, George Isac, Aly Kanji, Joann Kawchuk, Jennifer A Klowak, Andreas H Kramer, Julie Kromm, Allana E LeBlanc, Katarina Lee-Ameduri, Laurie A Lee, Murdoch Leeies, Ariane Lewis, Alex Manara, Shauna Matheson, Nicole K A McKinnon, Nicholas Murphy, Joel Neves Briard, Thaddeus M Pope, Mypinder S Sekhon, Jai Jai S Shanker, Gurmeet Singh, Jeffrey Singh, Marat Slessarev, Karim Soliman, Stephanie Sutherland, Matthew J Weiss, Randi Zlotnik Shaul, Lionel S Zuckier, David J Zorko, Bram Rochwerg
• Journal: Canadian journal of anaesthesia = Journal canadien d'anesthesie (Can J Anaesth) Vol. 70 Issue 4 Pg. 483-557 (04 2023) ISSN: 1496-8975 [Electronic] United States
• Vernacular Title: Une définition cérébrale du décès et des critères pour sa détermination après l’arrêt de la circulation ou de la fonction neurologique au Canada : des lignes directrices de pratique clinique 2023.
• PMID: 37131020 (Publication Type: Journal Article)
• Copyright: © 2023. The Author(s).

Topics

• Child
• Humans
• Canada
• Tissue Donors
• Tissue and Organ Procurement
• Brain
• Physicians
• Death
• Brain Death (diagnosis)