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Abstract

The issue of allowing relatives to witness brainstem death testing has sparked debate between all members of the multidisciplinary team working in intensive care. A literature search was carried out, highlighting the advantages and disadvantages of relatives observing brainstem death testing. Databases searched were the NHS Knowledge Network, OVID, CINAHL, the Cochrane Library, and Medline. Search items included: brainstem death, brainstem death testing, brain death, intensive care, relatives, families and witnessed cardiopulmonary resuscitation. Articles which were under ten years old were included; however articles which were pertinent to the topic were not excluded if outside this timeframe.

Keywords

brainstem death testing relatives intensive care unit witnessed testing brainstem death

References

Eelco

Wijdicks

. The diagnosis of brain death. N Engl J Med 2001;344: 1215–21.

Academy of Medical Royal Colleges. A Code of Practice for the Diagnosis and Confirmation of Death 2008. Academy of Medical Royal Colleges, London.

Dinsmore

Garner

. Brain stem death. Surgery 2009;27: 216–20.

Panorama, Episode 951, Transplants: Are the donors really dead? 1980 TV BBC2. Aired 13th October 1980.

Wijdicks

EFM

. The transatlantic divide over brain death determination and the debate. Brain 2012;135: 1321–31.

Eccles

. The boy who came back from the dead: Experts said car crash teen was beyond hope. His parents disagreed. The Mail (Online) 2012. Available from: http://www.dailymail.co.uk/health/article-2134346/Steven-Thorpe-Teenager-declared-brain-dead-FOUR-doctors-makes-miracle-recovery.html Accessed 29th October 2012.

Molter

. Needs of the relatives of critically ill patients. A descriptive study. Heart Lung 1979;8: 332–39.

Doran

. The presence of family during brain stem death testing, Intensive Crit Care Nurs 2004b;20: 87–92.

Long

Sque

Addington-Hall

. Conflict rationalisation: How family members cope with a diagnosis of brain stem death. Soc Sci Med 2008;67: 253–61.

10.

Frid

Bergbom

Haljamäe

. No going back: narratives by close relatives of the brain dead patient. Intensive Crit Care Nurs 2001;17: 263–78.

11.

Pearon

Robertson-Malt

Walsh

Fitzgerald

. Intensive care nurses' experiences of caring for brain dead organ donor patients. J Clin Nurs 2001;10: 132–39.

12.

Sque

Long-Sutehall

Payne

. Organ and tissue donation: exploring the needs of families British Organ Donor Society (Online) 2003 http://eprints.soton.ac.uk/id/eprint/191475 Accessed 29th October 2012.

13.

Ormrod

Ryder

Chadwick

Bonner

. Experiences of families when a relative is diagnosed brain stem dead: understanding of death, observation of brain stem death testing and attitudes to organ donation. Anaesthesia 2005;60: 1002–08.

14.

Swinburn

JMA

Ali

Banerjee

Khan

. Discontinuation of ventilation after brain stem death – to whom is our duty of care? BMJ 1999;319: 1753–54.

15.

Edwards

Forbes

. Nursing practice and the definition of human death. Nurs Inq 2003;10: 229–35.

16.

Pugh

Clarke

Gray

. Presence of relatives during testing for brain stem death: questionnaire study. BMJ 2000;321: 1505–06.

17.

Doran

. The presence of family during brain stem death testing. Intensive Crit Care Nurs 2004a;20: 32–37.

18.

Ronayne

. A phenomenological study to understand the experiences of nurses with regard to brainstem death. Intensive Crit Care Nurs 2009;25: 90–98.

19.

Pollit

Beck

. Nursing Research: Appraising Evidence for Nursing Practice 7th edn. Philadelphia: Lippincott Williams & Wilkins; 2010.

20.

Parahoo

. Nursing Research Principles, Process and Issues 2nd edn Hampshire: Palgrave Macmillan; 2006.

21.

Lo-Biondo-Wood

Haber

. Nursing Research Methods and Critical Appraisal for Evidence-Based Practice 7th edn. Missouri: Mosby Elsevier; 2010.

22.

Bell

MDD

Moss

Murphy

. Brainstem death testing in the UK – time for reappraisal? Br J Anaesth 2004;92: 633–40.

23.

Robinson

Mackenzie-Ross

Hewson

GLC

. Psychological effects of witnessed resuscitation on bereaved relatives. Lancet 1998;352: 614–17.

24.

Compton

Levy

Griffin

. Family witnessed resuscitation – bereavement outcomes in an urban environment. J Palliat Care 2011;14: 715–21.

25.

Booth

Woolrich

Kinsella

. Family witnessed resuscitation in UK emergency departments: a survey of practice. Eur J Anaesthesiol 2004;21: 725–28.

26.

Köberich

Kaltwasser

Rothaug

Albarran

. Family witnessed resuscitation – experience and attitudes of German intensive care nurses. Nurs Crit Care 2010;15: 241–50.

27.

McMahon-Parkes

Moule

Benger

Albarran

. The views and preferences of resuscitated and non-resuscitated patients towards family-witnessed resuscitation: a qualitative study. Int J Nurs Stud 2009;46: 220–29.

28.

Eichhorn

Meyers

Guzzetta

. Family presence during invasive procedures and resuscitation: hearing the voice of the patient. Am J Nurs 2001;101: 48–55.

29.

Madden

Condon

. Emergency nurses' current practices and understanding of family presence during CPR. J Emerg Nurs 2007;33: 433–40.

30.

Posner

Saper

Schiff

Plum

. Plum and Posner's Diagnosis of Stupor and Coma. 4th edition. Oxford: Oxford University Press; 2007:p.7.

31.

Royal College of Physicians. The permanent vegetative state. A working party report. J R Coll Physicians 1996;30: 119–21.

The Presence of Relatives during Brainstem Death Testing in an Intensive Care Unit

Abstract

Keywords

References