All human death is brain death: The legacy of the Harvard criteria
All human death is brain death: The legacy of the Harvard criteria
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DOI：
10.1016/j.resuscitation.2019.03.011
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发表时间：
2019-05-01
期刊：
影响因子：
6.5
通讯作者：
Manara, Alexander R.
中科院分区：
文献类型：
--
作者：
Manara, Alexander R.
50年前，哈佛医学院的特设委员会提供了关于使用神经学标准(Dnc)确认死亡的首个有影响力的指导。现在，70%的国家都有一个法律或专业框架来支持DNC。虽然临床诊断脑死亡的三阶段方法几乎被普遍接受，但实践中的国际差异仍在继续。如果要维持和增强公众和专业人士对诊断的信心，在未来制定国际共识和标准的必要性至关重要。哈佛特设委员会留下的遗产是我们对人类死亡的概念不断发展。越来越多的人接受到，归根结底，所有人类的死亡都是基于大脑的，无论是使用神经学标准还是心脏骤停后的循环标准进行诊断。
Fifty years ago, the ad hoc committee of the Harvard medical school provided the influential first guidance on confirming death using neurological criteria (DNC). Now 70% of countries have a legal or professional framework enabling DNC. While there is virtually universal acceptance of a three staged approach to the clinical diagnosis of brain death, international variation in practice continues. The need to develop international consensus and standards is essential in the future if public and professional confidence in the diagnosis is to be maintained and increased. The legacy of the Harvard ad hoc committee has been a continuing development of our concepts of human death. There is a growing acceptance that ultimately all human death is brain based whether diagnosed using neurological criteria or using circulatory criteria after cardiac arrest.