I have heard its because the body’s blood pressure goes off the chart and heart rate increases similar to if the person was experiencing consciousness – is there something we are not being told? That even brain stem dead patients can feel pain on some level – is that why they are anesthetized? Any answers from the medical fraternity are welcome!

Check this abstract from a paper on the subject-

"For more than twenty years, so-called “brain death” in the United Kingdom has been a misnomer. Now it is recognized that this condition should be called “brain stem death” because it is only the brain stem that is tested. Such tests are incomplete and do not determine the absence of all activity in the brain stem. It is agreed that they do not exclude activity in the higher parts of the brain. Patients certified to be brain stem dead are still responsive, whether by spinal reflexes only or not, and there is no agreement on the need for anesthesia. Very little of this controversial situation is public knowledge, and consent may be poorly informed. There is a serious shortage of organs for transplantation, and procedures advocated to increase the supply are directed towards compulsion rather than increasing information. "

Interesting reading, no?

5 Responses to “Why are brain stem dead organ donors anesthetized prior to removal? ?”

  • chocolate_frenzie:

    Just in case!!
    References :

  • Buzzard:

    Check this abstract from a paper on the subject-

    "For more than twenty years, so-called “brain death” in the United Kingdom has been a misnomer. Now it is recognized that this condition should be called “brain stem death” because it is only the brain stem that is tested. Such tests are incomplete and do not determine the absence of all activity in the brain stem. It is agreed that they do not exclude activity in the higher parts of the brain. Patients certified to be brain stem dead are still responsive, whether by spinal reflexes only or not, and there is no agreement on the need for anesthesia. Very little of this controversial situation is public knowledge, and consent may be poorly informed. There is a serious shortage of organs for transplantation, and procedures advocated to increase the supply are directed towards compulsion rather than increasing information. "

    Interesting reading, no?
    References :
    http://www.springerlink.com/content/l25n3pr387062678/

  • d-lishes:

    Correct on the first part. The brain stem is dead and the body can’t live without it, unless by artificial means. The body still has nerve impulses that can raise the blood pressure and heart rate, so to relax those impulses the body is anesthetized. The body is being kept alive to keep the organs alive. Without artificial life support the body dies and the organs die and are then useless for transplantation. Brain dead and Brain Stem dead are different things.
    References :

  • Allen B:

    Results of four technical investigations in fifty clinically brain dead patients.“brain dead” people will often respond to surgical incisions. Is this referred to as “the Lazarus effect?”
    Dr. Byrne: Yes. That is why during the excision of vital organs, doctors find the need to use anesthesia and paralyzing drugs to control muscle spasms, blood pressure and heart rate changes, and other bodily protective mechanisms common in living patients. In normal medical practice, a patient’s reaction to a surgical incision will indicate to the anesthesiologist that the anesthetic is too light. This increase in heart rate and blood pressure are reactions to pain. Anesthetics are used to take away pain. Anesthesiologists in Great Britain require the administration of anesthetic to take organs. A corpse does not feel pain.

    Intensive Care Med. 1992;18(2):82-8.
    "Fifty consecutive patients (aged 19-77 years, median 56 years) with primary cerebral diseases and the clinical signs of absent cortical and brainstem function were subjected to electroencephalography (EEG), brainstem acoustic evoked potentials (BAEP), extracranial Doppler ultrasonography (ECD) and arterial digital subtraction angiography (DSA). In the majority of cases the results of the technical tests agreed with the clinical signs and were suggestive of brain death. However, in one patient EEG revealed clear bioelectrical activity. In 6 cases, doubts existed about whether the EEG was isoelectric; in 3 of the 6 cases biological activity might have been present. In 31 of 42 patients ECD showed a typical pattern of intracranial circulatory arrest, in 9 of 42 ECD revealed a pattern suggestive of the cessation of cerebral blood flow. In four patients BAEP recordings compatible with brain death were recorded 2-3 days before intracranial circulatory arrest. In 2 patients with isoelectric EEG and absent BAEP arterial DSA demonstrated residual perfusion. The findings are discussed in view of the conceptional differences concerning brain death. It is concluded that the strict application of the concept of death of the whole brain requires angiographic demonstration of absent intracerebral blood flow."

    References :

  • Pangolin:

    We don’t anesthetize dead bodies for organ harvest – we support blood pressure to keep the organs perfused, and ventilate the patient to insure that the organs remain oxygenated.

    That’s it.

    When the organs are out, we turn everything off and leave.
    References :
    I’ve done a few harvests.

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