All about brain death-The need to create a culture for organ donation (in brain death cases)

All about brain death:

In brain death, blood flow to the brain is stopped, oxygen is not supplied to it. The brain loses all its function and suffers irreversible damage.  Although other organs, including the heart, liver, and kidneys, are still functioning after brain death, they will gradually decline over the next few days.  The brain dead patient does not speak, does not see, does not respond to any external stimuli, and will not be able to breathe without the use of a ventilator.

What are the most common causes of brain death?

Traffic accidents, severe head trauma, falling from height, waterboarding, poisonings, internal brain bleeding as well as stroke.

How does brain death occur?

Any severe damage to the brain can lead to tissue swelling. Since the brain is located in a closed space (skull bone) and there is no room for this volume increase, it puts pressure on the lower parts of the brain (brainstem), prevents circulation to the upper parts and prevents oxygenation more than ever.

This process may take a few minutes or days. The heart continues to function with the help of the ventilator, delivering oxygen to other organs, while brain tissue and brainstem, which are responsible for controlling breathing and heart rate, are deprived of this vital substance (oxygen) and die.

Why does the patient have heart rate and respiration for some time in brain death?

 The heart continues to beat as long as it has oxygen.  In the brain-dead patient, the ventilator will provide the oxygen needed for the heartbeat and will fail as soon as the device is separated from the heart patient.

What is a coma? Is it brain death?

Coma is a type of brain dysfunction that causes a severe decrease in the level of consciousness and does not respond to any of the stimulations around it. In a coma, there is a chance of recovery for some patients, while in brain death, the patient's recovery is impossible and his death is certain within a few days.

What is vegetable life and what is different with brain death?

 Vegetable life is completely different from brain death. 

This situation occurs almost always following the coma. Although the person appears to be awake (his eyes is open) and has a series of universal movements, there is no mental and cognitive performance. These are actually patients who seek extreme brain damage for many years of life, and in view, without being able to communicate with their surroundings.

Can the patient's appearance indicate that he has suffered brain death?

 No, a person with brain death is like someone who is fast asleep.  Her lungs are filled with air through a ventilator, her heart is beating due to oxygen, and her skin is even warm and pink.

Does the patient feel pain following brain death?

 No.  After brain death, there will be no pain or sorrow in humans.

Have there been cases of brain death that have improved?

 No, it is not possible for a brain dead patient to recover and return at all.  The things you've heard about brain death and then recovery are not really brain death.

 These patients are in a deep coma, but their relatives, or even some doctors and nurses who do not know enough about the difference between brain death and coma, have made such a misconception.

Thank you for trying to save a human life

Translator : Javad Eynaki Maleki

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