Ueta Ikuya
Division of Pediatric Critical Care, Shizuoka Children's Hospital.
Nihon Rinsho. 2010 Dec;68(12):2327-32.
Introducing brain death of children in Japan, there are three major concerns such as a) difficulty of diagnosing brain death in children, b) difficulty of taking care of family of the brain dead, c) difficulty of eliminating child abuse victims from donors, which are expressed by hospitals and health care providers. These issues are strongly connected to scarce resources of pediatric intensive care medicine and PICUs in Japan. They handle most of these tasks in the United States. Not only facilitating transplant medicine, but providing appropriate medical care for children, PICUs are essential and indispensable.
在日本引入儿童脑死亡概念时，医院和医疗服务提供者提出了三个主要问题，即：a) 儿童脑死亡诊断困难；b) 照顾脑死亡儿童家属困难；c) 难以将受虐待儿童从捐赠者中排除。这些问题与日本儿科重症医学资源稀缺以及儿科重症监护病房（PICU）紧密相关。在美国，PICU不仅推动了移植医学的发展，还为儿童提供了适当的医疗护理，是必不可少的。
