[Family issues around brain death in children].

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.