Evolución de la noción de muerte encefálica e implicaciones bioéticas

Parra Penagos, Luis Felipe

dc.contributor.advisor	Sarmiento Medina, Pedro José
dc.contributor.author	Parra Penagos, Luis Felipe
dc.date.accessioned	2019-11-29T21:29:45Z
dc.date.available	2019-11-29T21:29:45Z
dc.date.issued	2019-10-31
dc.identifier.uri	http://hdl.handle.net/10818/38528
dc.description	53 páginas	es_CO
dc.description.abstract	Después de 50 años de debate en torno de la muerte encefálica, las controversias suscitadas en busca de una justificación que logre equiparar la muerte encefálica con la muerte de la persona, aún se mantienen tan vigentes como lo fue en la década de los años 60. Este trabajo monográfico revisa la historia y actualiza el debate contemporáneo en relación con el uso del concepto de muerte encefálica y sus implicaciones bioéticas. En el capítulo 1 se presenta el antecedente histórico de la posibilidad de errar en el diagnóstico, al declarar a una persona como muerta; luego, se identifican los avances desarrollados a finales del siglo XIX y principios del XX en cuanto a tecnología médica, que permitieron mantener con vida a pacientes con lesiones neurológicas catastróficas, es decir, un nuevo tipo de paciente. Esta nueva cohorte fue catalogada como muerta, según el argumento principal propuesto por el comité ad hoc de la Escuela de Medicina de la Universidad Harvard (Ad Hoc Committee of the Harvard Medical School, 1968). En este capítulo, además, se citan a los primeros autores que dieron cuenta del fenómeno clínico descrito como coma irreversible que posteriormente se hizo conocer como muerte encefálica. Por ultimo, se reconoce que ante la pluralidad divergente en la adopción de los criterios propuestos por el Comité Ad Hoc de Harvard, fue necesaria la elaboración de una ley uniforme que permitiera la determinación de la muerte por criterios neurológicos en los Estados Unidos.	es_CO
dc.format	application/pdf	es_CO
dc.language.iso	spa	es_CO
dc.publisher	Universidad de La Sabana	es_CO
dc.rights	Attribution-NonCommercial-NoDerivatives 4.0 International	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/	*
dc.source	Universidad de La Sabana
dc.source	Intellectum Repositorio Universidad de La Sabana
dc.subject	Enfermedades del sistema nervioso	es_CO
dc.subject	Médico y paciente	es_CO
dc.subject	Ética médica	es_CO
dc.subject	Muerte encefálica -- Toma de decisiones	es_CO
dc.title	Evolución de la noción de muerte encefálica e implicaciones bioéticas	es_CO
dc.type	bachelor thesis	es_CO
dc.identifier.local	275277
dc.identifier.local	TE10472
dc.type.hasVersion	publishedVersion	es_CO
dc.rights.accessRights	openAccess	es_CO
dcterms.references	Ad Hoc Committee of the Harvard Medical School. (1968). A Definition of Irreversible Coma. JAMA, 205(8), 337–340.	eng
dcterms.references	Bernat, J. L., Culver, C. M., & Bernard, G. (1981). The definition and criterion of death. Annals of Internal Medicine, 94(3), 389–394. https://doi.org/10.1016/B978-0-444- 53501-6.00033-0	eng
dcterms.references	Bernat, James L. (2018). A Conceptual Justification for Brain Death. The Hastings Center, 48(6), S19–S21. https://doi.org/10.1002/hast.946	eng
dcterms.references	Bonelli, R. M., Prat, E. H., & Bonelli, J. (2009). Philosophical considerations on brain death and the concept of the organism as a whole. Psychiatria Danubina, 21(1), 3–8	eng
dcterms.references	Cañamero, E. H. (2019). On the idea of person and the Japanese notion of ningen and its relation to organ transplantation. The New Bioethics, 25(2), 185–198. https://doi.org/10.1080/20502877.2019.1613809	eng
dcterms.references	Capron, A. M. (2001). Brain Death: Well settled yet still unresolved. N Engl J Med, 344(16), 1244–1246.	eng
dcterms.references	Capron, A. M. (2018). Beecher Dépassé: Fifty Years of Determining Death, Legally. Hastings Center Report, 48(12), S14–S18. https://doi.org/10.1002/hast.945	eng
dcterms.references	Chaten, F. C. (2014). The dead donor rule: Effect on the virtuous practice of medicine. J Med Ethics, 40(6), 496–500. https://doi.org/10.1136/medethics-2013-101333	eng
dcterms.references	De Georgia, M. A. (2014). History of brain death as death: 1968 to the present. Journal of Critical Care, 29(4), 673–678. https://doi.org/10.1016/j.jcrc.2014.04.015	eng
dcterms.references	Jonas, H. (1970). “Against the stream: Comments on the definition and redefinition of death.” Philosophical Essays, pp. 132–140. Chicago: Chicago University Press.	eng
dcterms.references	Jonas, H. (1978). The Right to Die. Hastings Center Report, 8(4), 31–36. https://doi.org/10.1016/S0140-6736(71)90801-4	eng
dcterms.references	Kennedy Institute of Ethics. (1988). The president’s commission for the study of ethical problems in medicine and in biomedical and behavioral research	eng
dcterms.references	Lee, P. (2016). Total Brain Death and the Integration of the Body Required of a Human Being. Journal of Medicine and Philosophy (United Kingdom), 41(3), 300–314. https://doi.org/10.1093/jmp/jhw005	eng
dcterms.references	Lewis, A. (2018). Contentious Ethical and Legal Aspects of Determination of Brain Death. Seminars in Neurology, 38(5), 576–582. https://doi.org/10.1055/s-0038-1668075	eng
dcterms.references	Lewis, A., Cahn-Fuller, K., & Caplan, A. (2017). Shouldn’t dead be dead?: The search for a uniform definition of death. Journal of Law, Medicine and Ethics, 45(1), 112–128. https://doi.org/10.1177/1073110517703105	eng
dcterms.references	Lizza, J. P. (2011). Where’s waldo? The “decapitation gambit” and the definition of death. Journal of Medical Ethics, 37(12), 743–746. https://doi.org/10.1136/medethics-2011- 100109	eng
dcterms.references	Machado, C. (2005). The first organ transplant from a brain-dead donor. Neurology, 64(11), 1938–1942. https://doi.org/10.1212/01.WNL.0000163515.09793.CB	eng
dcterms.references	Machado, C., Korein, J., Ferrer, Y., Portela, L., Garcia, M. de la C., & Manero, J. M. (2007). The concept of brain death did not evolve to benefit organ transplants. J Med Ethics, 33(5), 197–200. https://doi.org/10.1136/jme.2006.016931	eng
dcterms.references	Magnus, D. C., Wilfond, M. D., & Caplan, A. L. (2014). Accepting Brain Death. New England Journal of Medicine, 370(10), 891–894. https://doi.org/10.1056/NEJMp1400969	eng
dcterms.references	Maguire, A. (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. https://doi.org/10.1080/20502877.2019.1606148	eng
dcterms.references	Miller, F. G. (2009). Death and organ donation: Back to the future. Journal of Medical Ethics, 35(10), 616–620. https://doi.org/10.1136/jme.2009.030627	eng
dcterms.references	Miller, Franklin G., & Truog, R. D. (2010). Decapitation and the definition of death. Journal of Medical Ethics, 36(10), 632–634. https://doi.org/10.1136/jme.2009.035196	eng
dcterms.references	Moschella, M. (2016a). Brain Death and Human Organismal Integration: A Symposium on the Definition of Death. Journal of Medicine and Philosophy (United Kingdom), 41(3), 229–236. https://doi.org/10.1093/jmp/jhw007	eng
dcterms.references	Moschella, M. (2016b). Integrated But Not Whole? Applying an Ontological Account of Human Organismal Unity to the Brain Death Debate. Bioethics, 30(8), 550–556. https://doi.org/10.1111/bioe.12258	eng
dcterms.references	Nair-Collins, M., & Miller, F. G. (2017). Do the “brain dead” merely appear to be alive? Journal of Medical Ethics, 43(11), 747–753. https://doi.org/10.1136/medethics-2016- 103867	eng
dcterms.references	Nakagawa, T. A., Ashwal, S., Mudit, M., Mysore, M., Medicine, T. S. of C. C., & Society, T. C. N. (2011). Guidelines for the Determination of Brain Death in Infants and Children : An Update of the 1987 Task Force Recommendations. American Academy of Pediatrics, 128, e720–e740. https://doi.org/10.1542/peds.2011-1511	eng
dcterms.references	Potter, V. R. (1970). Bioethics, the science of survival. Biology and Medicine, 14(1), 127– 153.	eng
dcterms.references	President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. (1981). Defining Death: A report on the medical, legal and ethical isues in the determination of death. Washington, D.C.	eng
dcterms.references	Sardinha, L., Athayde, M., Rodrigues, S., Cunha, M., Dantas Filho, V., Zambelli, H., … Boin, I. (2019). Case Reports and Literature Review About Family Autonomy in the Process of Donation of Organs and Gametes: An Ethical and Legal Analysis. Transplantation Proceedings, 51(2), 595–601. https://doi.org/10.1016/j.transproceed.2018.12.004	eng
dcterms.references	Schofield, G. M., Urch, C. E., Stebbing, J., & Giamas, G. (2015). When does a human being die? Qjm, 108(8), 605–609. https://doi.org/10.1093/qjmed/hcu239	eng
dcterms.references	Shah, S. K., Truog, R. D., & Miller, F. G. (2011). Death and legal fictions. Journal of Medical Ethics, 37(12), 719–722. https://doi.org/10.1136/jme.2011.045385	eng
dcterms.references	Shah, Seema K., Kasper, K., & Miller, F. G. (2015). A narrative review of the empirical evidence on public attitudes on brain death and vital organ transplantation: The need for better data to inform policy. Journal of Medical Ethics, 41(4), 291–296. https://doi.org/10.1136/medethics-2013-101930	eng
dcterms.references	Shewmon, D. A. (1998). Chronic “brain death”: meta-analysis and conceptual consequences. Neurology, 51(7), 1538–1545	eng
dcterms.references	Shewmon, D. A. (2001). The Brain and Somatic Integration: Insights Into the Standard Biological Rationale for Equating Brain Death With Death. The Journal of Medicine and Philosophy, 26(5), 457–478. https://doi.org/10.1076/jmep.26.5.457.3000	eng
dcterms.references	Shewmon, D. A. (2009). Brain Death: Can It Be Resuscitated? Hastings Center Report, 39(2), 18–24.	eng
dcterms.references	Shewmon, D. A. (2012). Brain death or brain dying? Journal of Child Neurology, 27(1), 4– 6. https://doi.org/10.1177/0883073811421986	eng
dcterms.references	Shewmon, D. A. (2017). False-Positive Diagnosis of Brain Death Following the Pediatric Guidelines: Case Report and Discussion. Journal of Child Neurology, 32(14), 1104– 1117. https://doi.org/10.1177/0883073817736961	eng
dcterms.references	Shewmon, D. A. (2018). Brain Death: A Conclusion in Search of a Justification. Hastings Center Report, 48(December), S22–S25. https://doi.org/10.1002/hast.947	eng
dcterms.references	Sinnott-Armstrong, W., & Miller, F. G. (2013). What makes killing wrong? J Med Ethics, 39(12), 3–7. https://doi.org/10.1136/medethics-2011-100351	eng
dcterms.references	The President’s Council on Bioethic. (2001). Executive Order Creating the Council.	eng
dcterms.references	The President’s Council on Bioethic. (2008). Controversies in the Determination of Death. A White Paper. https://doi.org/10.1515/9783110208856.403	eng
dcterms.references	Thomas, A. G. (2012). Continuing the definition of death debate: The report of the president’s council on bioethics on controversies in the determination of death. Bioethics, 26(2), 101–107. https://doi.org/10.1111/j.1467-8519.2010.01812.x	eng
dcterms.references	Truog, R. D. (2018). Defining death-making sense of the case of jahimcmath. JAMA, 319(18), 1859–1860. https://doi.org/10.1001/jama.2018.3441	eng
dcterms.references	Truog, R. D., & Miller, F. G. (2014a). Changing the Conversation About Brain Death. American Journal of Bioethics, 14(8), 9–14. https://doi.org/10.1080/15265161.2014.925154	eng
dcterms.references	Truog, R. D., & Miller, F. G. (2014b). The meaning of brain death: a different view. JAMA Internal Medicine, 174(8), 1215–1216. https://doi.org/10.1001/jamainternmed.2014.2272.Conflict	eng
dcterms.references	Truog, R. D., & Tasker, R. C. (2017). Should Informed Consent Be Required for Apnea Testing in Patients With Suspected Brain Death? Yes. Chest, 152(4), 702–704. https://doi.org/10.1016/j.chest.2017.05.032	eng
dcterms.references	Truog, Robert D., Berlinger, N., Zacharias, R. L., & Solomon, M. Z. (2018). Brain Death at Fifty: Exploring Consensus, Controversy, and Contexts. Hastings Center Report, 48(December), S2–S5. https://doi.org/10.1002/hast.942	eng
dcterms.references	Truog, Robert D., Pope, T. M., & Jones, D. S. (2018). The 50-year legacy of the Harvard report on brain death. JAMA, Vol. 320, pp. 335–336. https://doi.org/10.1001/jama.2018.6990	eng
dcterms.references	Verheijde, J. L., Rady, M. Y., & Potts, M. (2018). Neuroscience and Brain Death Controversies: The Elephant in the Room. Journal of Religion and Health, 57(5), 1745–1763. https://doi.org/10.1007/s10943-018-0654-7	eng
dcterms.references	Whetstine, L. M. (2014). Biophilosophical criticisms of brain death: The need for a new paradigm. Journal of Critical Care, Vol. 29, pp. 878–880. https://doi.org/10.1016/j.jcrc.2014.06.016	eng
dcterms.references	White, R. J., Wolin, L. R., Massopust, L. C., Taslitz, N., & Verdura, J. (1971). Cephalic exchange transplantation in the monkey. Surgery, 70(1), 135–139	eng
dcterms.references	Wijdicks, E. F. M. (2018). Deliberating Death in the Summer of 1968. N Engl J Med, 379(5), 410–412. https://doi.org/10.1056/NEJMp1805870	eng
dcterms.references	Yang, Q., & Miller, G. (2015). East–West Differences in Perception of Brain Death: Review of History, Current Understandings, and Directions for Future Research. Journal of Bioethical Inquiry, 12(2), 211–225. https://doi.org/10.1007/s11673-014- 9564-x	eng
dcterms.references	Mollaret, P., & Goulon, M. (1959). “Le coma depassé.” Rev Neurol (Paris), 101(7), 3–15.	fra
thesis.degree.discipline	Facultad de Medicina	es_CO
thesis.degree.level	Especialización en Bioética	es_CO
thesis.degree.name	Especialista en Bioética	es_CO