Traditional Cardiopulmonary Criterion of Death is the Only Valid Criterion of Human Death

Peter Volek

DOI: http://dx.doi.org/10.12775/SetF.2021.011

Abstract


In recent time the critique of the whole brain death as the criterion of human death, that was introduced in 1968, has been growing. The paper aims to show in systematically that there are good reasons based on empirical findings combined with Thomistic Christian anthropology to accept the traditional cardiopulmonary criterion as the criterion of human death. This will be shown through a systematic critique of other criteria of death: whole brain death, higher brain death, brain stem death, and controlled cardiac/circulatory death. The traditional cardiopulmonary criterion of death provides the opportunity to maintain the dead donor rule for organ transplantation. This also affirms the respect for human life required by the ethics of the sanctity of human life. The paper further provides a justification of dead donor rule. The paper proposes 35 minutes period after cardiac arrest to declare the patient dead, since at that time there is no possibility to autoresuscitate the heart.


Keywords


human death; criterion od death; cardiopulmonary criterion of death; whole brain death; higher brain death; dead donor rule

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References


Academy of Medical Royal Colleges. 2008. A code for practice for the diagnosis and confirmation of death. London: Academy of Medical Royal College.

Accad, Michel. 2015. “Of wholes and parts.: A Thomistic refutation of ‘Brain Death’.” The Linacre Quarterly 82(3): 217–234.

Ad Hoc Committee of the Harvard Medical School (1968): A Definition of Irreversible Coma. Report of the Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death. In: Journal of the American Medical Association 205(6): 337–340 (5.8.1968).

Austriaco, Nicanor. 2003. “Is the Brain-Dead Patient Really Dead?” Studia Moralia 41: 277–308.

Barnard, Christiaan. 1967. “The Operation. A Human Cardiac Transplant: An Interim Report of a Successful Operation Performed at Groote Schuur Hospital, Cape Town.” South Africa Medical Journal 41(48): 1271–1274. 20.12.1967.

Benedict XVI. 2008. To Participants at an International Congress Organized by the Pontifical Academy for Life. Available at: http:/vatican.va/holy_father/benedict_xvi/speeches/2008/november/documents/hf_ben-xvi_spe_20081107_acdlife_en.html

Bernat, James L. 1998. “A defense of the whole-brain concept of death.” Hastings Center Report 28(2): 14–23.

Bernat, James L. 2006. “The whole-brain concept of death remains optimum public policy.” Journal of Law, Medicine, and Ethics 34: 35–43.

Bernat, James L. 2008. “The Boundaries of Organ Donation after Circulatory Death.” New England Journal of Medicine 359(7): 669–671.

Bernat, James L. 2013. “Life or Death for Dead-Donor Rule?” New England Journal of Medicine 369(14): 1289–1291.

Bernat, James L., Charles M. Culver, and Bernard Gert. 1981. “On the definition and criterion of death.” Annals of Internal Medicine 94: 389–394.

Bernat, James. L., Anthony M. D’Alessandro, Friedrich K. Port, Thomas P. Bleck, Stephen O.Heard, Stanley H. Rosenbaum, Michael A. DeVita, Robert S. Gaston, Robert M. Merion, Mark L. Barr, William H. Marks, Howard Nathan, Kevin O’Connor, Dianne LaPointe Rudow, Alan B. Leichtman, Paul Schwab, Nancy L. Ascher, Robert A. Metzger, Virginia Mc Bride, Walter Graham, Dennis Wagner, James Warren, and Francis L. Delmonico. 2006. “Report of a National Conference on Donation after Cardiac Death.” American Journal of Transplantation 6: 281–291.

Bernat, James L., Alexander Morgan Capron, Thomas P. Bleck, Sandralee Blosser, Susan L. Bratton, James F. Childress, Michael A. DeVita, Gerard J. Fulda, Cynthia J. Gries, Mudit Mathur, Thomas A. Nakagawa, Cynda Hylton Rushton, , Sam D. Shemie, and Douglas B. White. 2010. “The circulatory-respiratory determination of death in organ donation.” Critical Care Medicine 38(3): 963–970.

Capron, Alexander Morgan, and Leon R. Kass. 1972. “A Statutory Definition of the “Standards for Determining Human Death: An Appraisal and a Proposal.” University of Pennsylvania Law Review 121(29): 87–118.

Cole, David J. 1992. “The reversibility of death.” Journal of medical ethics 18(1): 26–30.

Cole, David J. 1993. “Statutory Definitions of Death and the Management of Terminally Ill Patients Who May Become Organ Donors after Death.” Kennedy Institute of Ethics Journal 3(2): 145–155.

Condic, Maureen L. 2016. “Determination of Death. A Scientific Perspective on Biological Integration.” Journal of Medicine and Philosophy 41: 257–278.

Conference of Medical Royal Colleges and their Faculties in the United Kingdom. 1976. “Diagnosis of brain death.” British Medical Journal 2(6045): 1187–1188. (13.11.1976)

Conference of Medical Royal Colleges and their Faculties in the United Kingdom. 1979. “Memorandum on the diagnosis of death.” British Medical Journal 1(6159): 332. (3.2.1979)

Dalle Ave, Anne L., and James L. Bernat. 2017. “Donation after brain circulation determination of death.” BMC Medical Ethics 18(15): 1–6.

De Georgia, Michael A. 2014. “History of brain death: 1968 to the present.” Journal of Critical Care 29: 673–678.

Demertzi, Athena, Georgios Antonopoulos, Lizette Heine, Henning U. Voss, , Julia Sophia Crone, Carlo de Los Angeles, Mohamed Ali Bahri, Carol Di Perri, Audrey Vanhaudehuyse, Vanessa Charland-Verville, Martin Kronbichler, Eugen Trinka, Christophe Phillips, Francisco Gomez, Luaba Tsibanda, Andrea Soddu, Nicholas D. Schiff,Susan Whitfield-Gabrielli, and Steven Laureys. 2015. “Intrinsic functional connectivity differentiates minimally conscious from unresponsive patients.” Brain 138: 2619–2631.

Denzinger, Heinrich. 1991. Enchiridion symbolorum, definitionum et declarationum de rebus fidei et donum. Kompendium der Glaubensbekenntnisse und kirchlichen Lehrentscheidungen. Lateinisch – Deutsch. Hrsg. Von Peter Hünermann. Freiburg im Br.: Herder, 37. Aufl.

Dhanani, Sonny, Laura Hornby, Roxanne Ward, and Sam Shemie. 2012. “Variability in the Determination of Death after Cardiac Arrest: A Review of Guidelines and Statements.” Journal of Intensive Care Medicine 27(4): 238–252.

Die Deutschen Bischöfe. Die Glaubenskommision. 2015. Hirntod und Organspende. Bonn: Sekretariat der Deutschen Bischofskonferenz.

Doran, Stephen E., and Joseph M. Vukov. 2019. “Organ Donation and Declaration of Death: Combined Neurologic and Cardiopulmonary Standards.” The Linacre Quarterly 86(4): 285–296.

DuBois, James. 1999. “Non-Heart-Beating Organ Donation: A Defense of the Required Determination of Death.” Journal of Law, Medicine & Ethics 27: 126–136.

Erklärung der Deutschen Bischofskonferenz und des Rates der Evangelischen Kirche in Deutschland. 1990. Organtransplantationen. Bonn: Sekretariat der Deutsche Bischofskonferenz – Hannover: Kirchenamt der Evangelischen Kirche in Deutschland.

Esmaeilzadeh, Majid, Christine Dictus, Elmah Kaynvanpour, Farbod Sedaghad-Hamedani, Michael Eichbaum, Stefan Hofer, Guido Engelmann, Hamidreza Fonouni, , Mohammad Golriz, Jan Schmidt, Andreas Unterberg, Arianeb Mehrabi, and Rezvan Ahmadi. 2010. “One life ends, another begins: Management of a brain-dead pregnant mother. A systematic review.” BMC Medicine 8(74): 1–11.

Finnis, John. 2011. “Brain Death and Peter Singer.” In Finnis, John. Intention and Identity. Collected Essays, Vol. II., 302–312. Oxford: Oxford University Press.

Gardiner, Dale., Sam Shemie, Alex Manara, and Helen Opdam. 2012. “International perspective on the diagnosis of death.” British Journal of Anaesthesia 108(S1): i14–i28.

Giacomini, Mita. 1997. “A change of heart and a change of mind? Technology and the redefinition of death in 1968.” Social Science & Medicine 44(10): 1465–1482.

Gilder, Stanley S. B. 1968. “Twenty-second World Medical Assembly.” British Medical Journal 3(5616): 493–494. (24. 6. 1968)

Giovanni Paolo II. 1991. “Ai partecipanti ad un congresso sui trapianti di organi” [To Participants at a Congress on the Organ Transplantation], 20. 6. 1991. Insegnamenti di Giovanni Paolo II. [Teachings of John Paul II.] Vol. XIV, No. 1. Vatican: Libreria Editrice Vaticana, 1710–1713.

Giovanni Paolo II. 2000. “Ai partecipanti al congresso internazionale sui trapianti” [To Participants at an International Congress on the Transplantation], 29.8.2000. Insegnamenti di Giovanni Paolo II. [Teachings of John Paul II.] Vol. XXIII, No. 2. Vatican: Libreria Editrice Vaticana, 280–285.

Gligorov, Nada. 2016. “A Defense of Brain Death.” Neuroethics 9: 119–127.

Greer, David M., Panayiotis N., Varelas, Shamael Haque, and Eelco F. M. Wijdicks. 2008. “Variability in brain death determination guidelines in leading US neurologic institutions.” Neurology 70: 1–5.

Greer, David M., Hilary H., Wang, Jennifer D. Robinson, Panayiotis N., Varelas, Galen M. Henderson, and Eelco F. M. Wijdicks. 2016. “Variability of Brain Death Policies in United States.” JAMA Neurology 73(2): 213–218.

Guibert, Edgardo E., Alexander Y., Petrenko, Cecilia L., Balaban, Alexander Y., Somov, Joaquín V. Rodriguez, and Barry J. Fuller. 2011. “Organ Preservation: Current Concepts and New Strategies for the Next Decade.” Transfusion Medicine and Hemotherapy 38: 125–142.

Hornby, Karen, Laura Hornby, Sam D. Shemie. 2010. “A systematic review of autoresuscitation after cardiac arrest.” Critical Care Medicine 38(5): 1246–1253.

Hornby, Laura, Sonny Dhanani, Sam D. Shemie. 2017. “Update of a Systematic Review of Autoresuscitation after Cardiac Arrest.” Critical Care Medicine 46(3): e268–e272.

Jonas, Hans. 1974. “Against the Stream.” In Philosophical Essays: From Ancient Creed to Technological Man, 132–140. Englewood Cliffs, New Jersey: Prentice-Hall.

Jones, David Albert. 2012. “Loss of faith in brain death: Catholic controversy over the determination of death by neurological criteria.” Clinical Ethics 7: 133–141.

Kass, Leon R. 1971. “Death as an Event: A Commentary on Robert Morison.” Science 173(3998): 698–702 (20. 8. 1971).

Khushf, George. 2010. “A Matter of Respect: A Defense of the Dead Donor Rule and of a ‘Whole-Brain’ Criterion for Determination of Death.” Journal of Medicine and Philosophy 35: 330–364.

Kommission für Reanimation und Organtransplantation der Deutschen Gesellschaft für Chirurgie. 1968. „Todeszeichen und Todeszeitbestimmung.“ Der Chirurg 39: 196–197.

Lee, Patrick, and Germain Grisez. 2012. “Total Brain Death: A Reply to Alan Shewmon.” Bioethics 26(5): 275–284.

Lizza, John P. 2018. “Defining Death: Beyond Biology.” Diametros 55: 1–19.

Machado, Calixto. 2005. “The first organ transplant from a brain-dead donor.” Neurology 64: 1938–1942.

Machado, Calixto. 2007. Brain Death. A Reappraisal. New York: Springer.

Machado, Calixto. 2019. “Further thoughts about the ‘transatlantic divide’ in brain death determination.” Anaesthesia 74, http://anaesthesia114.rssing.com/chan-55847669/all_p26.html#item507.

Machado, Calixto, Julius Korein, Yazmina Ferrer, Liana Portela, Maria de la C García, and José M Manero. 2007. “The concept of brain death did not evolve to benefit of organ transplants.” Journal of Medical Ethics 33: 197–200.

Machado, Calixto, Mario Estévez, Phillip A. DeFina,. and Gery Leisman. 2018. “Response to Lewis, Ariane. 2018. “Reconciling the Case of Jahi Mcmath.” Neurocritical care 29: 521–522.

Maguire, Abigail. 2019. “Towards a holistic definition of death: the biological, philosophical and social deficiencies of brain stem death criteria.” The New Bioethics 25(2): 172–184.

Marquise, Don. 2010. “Are DCD Donors Dead?” Hastings Center Report 40(3): 24–31.

McGee, Andrew, and Dale Gardiner. 2019. “Differences in the definition of brain death and their legal impact on intensive care practice.” Anaesthesia 74(5): 569–572.

McMahan, Jeff. 2006. “An Alternative to Brain Death.” The Journal of Law, Medicine, and Ethics 34(1): 44–48.

Medford, Nick, and Hugo D. Critchley. 2010. “Conjoint activity of anterior insular and anterior cingulate cortex: awareness and response.” Brain structure and function 214: 535–549.

Meisner, Joachim. 1996. „Erklärung des Erzbischofs von Köln zum beabsichtigten Transplantationsgesetz.“ Köln: Presseamt des Erzbistums Köln, Nr. 316. (27. 9. 1996)

Métreaux, Alexandre. 2001. „Der Todesregion in der belebten Materie. Xavier Bichat über das vielfache Sterben des Organismus.“ In: Hirntod. Zur Kulturgeschichte der Todesfestellung‘, edited by Thomas Schlich and Claudia Wiesemann, 167–186. Frankfurt am Main: Suhrkamp.

Moschella, Melissa. 2019. “The human organism is not a conductorless orchestra. A defense of brain death as true biological death.” Theoretical Medicine and Bioethics 40: 437–454.

Moskopp, Dag. 2017. “Brain Death: Past, Present and Future.” Journal of Intensive and Critical Care 3(3): 1–5.

National Conference on Commissioners of Uniform State Laws. 1980. Uniform Determination of Death Act. https://www.uniformlaws.org/HigherLogic/System/DownloadDocumentFile.ashx?DocumentFileKey=341343fa-1efe-706c-043a-9290fdcfd909.

Nguyen, Doyen. 2016. “Brain death and true patient care.” The Linacre Quarterly 83(3): 258–282.

Nguyen, Doyen. 2017. “Pope John Paul II and the neurological standard for the determination of death: A critical analysis of his address to the Transplantation Society”. The Linacre Quarterly 84(2): 155–186.

Nguyen, Doyen. 2018a. The New Definitions of Death for Organ Donation. A Multidisciplinary Analysis from the perspective of Christian Ethics. Bern: Peter Lang.

Nguyen, Doyen. 2018b. “Why the Thomistic defense of ‘brain death’ is not Thomistic: An analysis from the perspectives of classical philosophy and contemporary biophilosophy.” The Thomist 82: 407–446.

Ngyuen, Doyen. 2019. “Evolution of the Criteria of Brain Death: A Critical Analysis Based on Scientific Realism and Christian Anthropology.” The Linacre Quarterly 86(4): 297–313.

Norkowski, Jacek Maria. 2018. “Brain based criteria for death in the light of the Aristotelian-Scholastic Anthropology.” Scientia et Fides 6(1): 153–188.

Oderberg, David S. 2019. “Death, unity, and the brain.” Theoretical Medicine and Bioethics 40: 359–379.

Ostertag, Christopher, and Kyle Karches. 2019. “Brain Death and the Formation of Moral Conscience.” The Linacre Quarterly 86(4): 335–346.

Owen Adrian M., Martin R. Coleman, Melanie Boly, Matthew H. Davis, Steven Laureys, and John D. Pickard. 2006. “Detecting awareness in the vegetative state.” Science 313: 1402.

Pallis, Christopher.1982. “ABC of Brain Stem Death. From Brain Death to Brain Stem Death.” British Medical Journal 285:1487–1490 (20.11.1982).

Pallis, Christopher. 1995. “Further Thoughts on Brainstem Death.” Anaesthesia and Intensive Care 23: 20–23.

Pallis, Chris. 1999. “On the Brainstem Criterion of Death.” In The Definition of Death. Contemporary Controversies, edited by Stuart J. Youngner, Robert M. Arnold, and Renie Schapiro, 93–100. Baltimore – London: The John Hopkins University Press.

President’s Commission for the Study of Ethical Problems in Medicine and Biomedicine and Behavioral Research. 1981. Defining Death. A Report on the Medical, Legal and Ethical Issues in Determination of Death. Washington, DC: US Government Printing Office.

President’s Council on Bioethics. 2008. Controversies in the Determination of Death. A White Paper by the President’s Council on Bioethics. Washington, DC: www.bioethics.gov.

Repertinger, Susan, William P. Fitzgibbons, Matthew F. Omojola, and Roger A. Brumback. 2006. “Long Survival Following Bacterial Meningitis-Associated Brain Destruction.” Journal of Child Neurology 21(7): 591–595.

Seifert, Josef. 1993. “Is ‘Brain Death’ Actually Death?” The Monist 73:175–202.

Shemie, Sam D., Christopher Doig, Bernard Dickens, Paul Byrne, Brian Wheelock, Graeme Rocker, Andrew Baker, T. Peter Seland, Cameron Guest, Dan Cass, Rosella Jefferson, Kimberly Young, , Jeanne Teitelbaum, on behalf of Pediatric Reference Group and the Neonatal Reference Group. 2006. “Brain arrest: the neurological determination of death and organ donor management in Canada.” Canadian Medical Association Journal 174(6): S1–S30 (14.3.2006).

Shemie, Sam D., Laura, Hornby, Andrew Baker, Jeanne Teitelbaum, Sylvia Torrance, Kimberly Young, James L., Bernat, Luc Noel, and The International Guidelines for Determination of Death phase 1 participants, in collaboration with the World Health Organization. 2014. “International guideline development for the determination of death.” Intensive Care Medicine 40: 788–797.

Shewmon, D. Alan. 1985. “The Metaphysics of Brain Death, Persistent Vegetative State, and Dementia.” The Thomist 49(1): 24–80.

Shewmon, D. Alan. 1997. “Recovery from ‘Brain Death’: A Neuorologist’s Apologia.” The Linacre Quarterly 64(1): 30–96.

Shewmon, D. Alan. 1998a. “Chronic ‘brain death’. Meta-analysis and conceptual consequences.” Neurology 51: 1538–1545.

Shewmon, D. Alan. 1998b. “‘Brainstem Death,’ ‘Brain Death’ and Death: A Critical Re-Evaluation of the Purported Equivalence.” Issues in Law and Medicine 14(2): 125–145.

Shewmon, D. Alan. 2001. “The Brain and Somatic Integration: Insights Into the Standard Biological Rationale for Equating ‘Brain Death’ With Death.” Journal of Medicine and Philosophy 26(5): 457–478.

Shewmon, D. Alan. 2010. “Constructing the death elephant: a synthetic paradigm shift for definition, criteria, and tests for death.” Journal of Medicine and Philosophy 35: 256–298.

Shewmon, D. Alan. 2018. “The Case of Jahi McMath. A Neurologists View.” Hastings Center Report 48(S4): S74–S76.

Schiff, Nicholas D. and Joseph J. Fins. 2016. “Brain death and disorders of consciousness.” Current biology 26: R572–R576.

Singer, Peter. 1974. “All Animals Are Equal.” Philosophical Exchange 1: 103–116.

Singer, Peter. 1994. Rethinking Life and Death. The Collapse of Our Traditional Ethics. New York: St. Martin Griffin.

Singer, Peter. 2011. Practical Ethics. Third ed. Cambridge: Cambridge University Press.

Singer, Peter. 2018. “The Challenge of Brain Death for the Sanctity of Life Ethic.” Ethics & Bioethics (in Central Europe) 8(3–4): 153–165.

Smith, Martin. 2015. “Brain Death: The United Kingdom Perspective.” Seminars in Neurology 35: 145–151.

Sulmasy, Daniel P. 2019. “Whole-brain death and integration: realigning the ontological concept with clinical diagnostic tests.” Theoretical Medicine and Bioethics 40: 455–481.

Thomas Aquinas. 1918. Summa contra gentiles. Opera omnia iussu edita Leonis XIII P. M. Romae: Typis Riccardi Garrone.

Truog, Robert D. 2007. “Brain death – Too Flawed to Endure, too Ingrained to Abandon.” Journal of Law, Medicine and Ethics 35(2): 273–281.

Vadi, Sonali and Sunil Shroff. 2019. “Redefining Death. Urgent Need to Evolve toward a Homogenous Definition of Death in India.” Indian Journal of Critical Care Medicine 23(8): 368–370.

Veatch, Robert. M. 2005. “The Death of the Whole-Brain Death: The Plague of Disaggregators, Somaticists, and Mentalists.” Journal of Medicine and Philosophy 30: 353–378.

University of Pittsburgh Medical Center. 1993. “University of Pittsburgh Medical Center Policy and Procedure Manual.” Kennedy Institute of Ethics Journal 3(2): A–1–15.

Volek, Peter. 2009. Určenie smrti človeka a darcovstvo orgánov. [Determination of Death and Organ Donation] Ružomberok: Katolícka univerzita v Ružomberku, Filozofická fakulta.

Wijdicks, Eelco, F. M. 2001. “The Diagnosis of Brain Death.“ New England Journal of Medicine 344(16): 1215–1221 (19.4.2001).

Wijdicks, Eelco F. M. 2006. “The clinical criteria of brain death throughout the world: why has it come to this?” Canadian Journal of Anesthesia 53(6): 540–543.

Wijdicks, Eelco F. M., Panayiotis N. Varelas, Gary S. Gronseth, and David M. Greer. 2010. “Evidence-based guidelines update: Determining brain death in adults. Report of the Quality Standards Subcommittee of the American Academy of Neurology.” Neurology 74(23): 1911–1918.

Working Group of the Royal College of Physicians. 1995. “Criteria for the Diagnosis of Brain Stem Death: Review by a Working Group Convened by the Royal College of Physicians and Endorsed by the Conference of Medical Royal Colleges and their Faculties in the United Kingdom.” Journal of the Royal College of Physicians of London 29(5): 381–382.








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