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Death: irreversible or permanent?

Created on 10 Nov 2026

Authors

Rainer Beckmann, Georg M Stoffel

Published in

Swiss medical weekly. Volume 156. Pages 5182. Nov 05, 2026. Epub Nov 05, 2026.

Abstract

The most recent guidelines for determining brain death restrict diagnostic criteria to the demonstration of a "permanent" loss of either brain or cardiopulmonary function. This approach departs from the conventional understanding of "death", which is defined by "irreversibility" rather than mere "permanence". Current guidelines in Canada, the USA and the UK, as well as a draft guideline from Switzerland, do not provide convincing justification for this conceptual shift. By adopting permanence as the operative standard, these guidelines risk undermining the dead donor rule, which requires that organ retrieval occur only after death has been definitively established.

PMID:
43002383
Bibliographic data and abstract were imported from PubMed on 10 Nov 2026.

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