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Canadian Journal of Anesthesia 53:602-608 (2006)
© Canadian Anesthesiologists' Society, 2006
Neuroanesthesia and Intensive Care

Brief review: History, concept and controversies in the neurological determination of death

[Revue sommaire : histoire, concept et discussion de la détermination neurologique de la mort]

Leonard Baron, MD*, Sam D. Shemie, MD{dagger}, Jeannie Teitelbaum, MD{ddagger} and Christopher James Doig, MD MSc§

* From the Department of Anesthesia, Misericordia Community Hospital, University of Alberta, Edmonton, Alberta; the
{dagger} Division of Critical Care Medicine, Department of Pediatrics, Montreal Children’s Hospital, McGill University Health Centre, Montreal, Quebec; the
{ddagger} Department of Neurology, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec; and the
§ Departments of Critical Care Medicine, Medicine, and Community Health Sciences, Faculty of Medicine, The University of Calgary, Calgary, Alberta, Canada.

Address correspondence to: Dr. Leonard Baron, Department of Anesthesia, Misericordia Community Hospital, 16940 – 87 Avenue, Edmonton, Alberta T5R 4H5, Canada. Phone: 780-735-2863; Fax: 780-735-2967; E-mail: lenbaron{at}shaw.ca

Objectif : Malgré l’acceptation mondiale du concept de détermination neurologique de la mort (DNM), un manque d’homogénéité persiste dans les critères cliniques et les exigences de tests accessoires. De nombreuses directives peuvent être appliquées pour la DNM par divers praticiens médicaux cliniques, mais le fondement scientifique des recommandations de pratique demeure souvent confus. La présente revue examine l’évolution de la DNM et cherche à donner une validation scientifique aux critères existants de DNM.

Source : Des revues médicales de langue anglaise vérifiées par des pairs et des textes médicaux contemporains reconnus.

Constatations principales : Les directives publiées présentement paraissent avoir évolué depuis le premier travail du Comité spécial de la Harvard Medical School chargé de définir la mort encéphalique. La Conference of the Royal Colleges and Faculties of the United Kingdom a raffiné les critères et subséquemment adopté le principe de mort du tronc cérébral. Quoique le fondement des directives sur la DNM soit remarquablement cohérent à travers le monde, les exigences et les critères spécifiques sont souvent irréguliers.

Conclusion : Beaucoup de controverse continue d’exister en regard de la DNM, ce qui nécessite une clarification scientifique poussée. Des directives publiées plus récemment sont accessibles. Elles font part de l’opinion collective d’experts mondiaux en DNM, fondée sur la meilleure preuve scientifique actuelle.




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This Article
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Right arrow Articles by Baron, L.
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Right arrow Articles by Doig, C. J.

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