PEDIATRICS Vol. 80 No. 2 August 1987, pp. 293-297
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Brain Death Determination in the Newborn

JOSEPH J. VOLPE MD1

1 Departments of Pediatrics, Neurology and Biological Chemistry, Washington University School of Medicine, Children's Hospital, St Louis

This commentary is addressed to the determination of brain death in the newborn and young infant and in particular is meant to elaborate the rationale for two aspects of the guidelines established by the Task Force on Brain Death in Children.1 The two aspects are (1) the application of the guidelines to term infants seven days of age or older and (2) the recommendation of an observation period of at least 48 hours in infants between seven days and 2 months of age.

The two essential requirements for the diagnosis of brain death are, first, the establishment of cessation of all brain functions, ie, cerebral and brainstem functions, and second, the demonstration that cessation of these functions is irreversible.




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