Sakai H
Department of Anesthesia and ICU, National Children's Hospital, Tokyo.
No To Hattatsu. 2000 Sep;32(5):442-4.
In Japan, "brain death" has been discussed exclusively in connection with organ transplantation. However, the concept of brain death, which emerged with the progress in intensive care medicine, should be discussed in the context of palliative care in the ICU. It should be recognized that intensive care medicine includes not only life-saving high-tech therapeutic modalities, but also ethical and psycho-social aspects of modern medicine. In order to find out a decent solution to pediatric brain death issues, it is essential to develop pediatric intensive care in Japan.
在日本，“脑死亡”一直仅在器官移植的背景下进行讨论。然而，随着重症监护医学的发展而出现的脑死亡概念，应该在重症监护病房的姑息治疗背景下进行讨论。应该认识到，重症监护医学不仅包括挽救生命的高科技治疗方式，还包括现代医学的伦理和社会心理方面。为了找到解决儿童脑死亡问题的合适方案，在日本发展儿科重症监护至关重要。
