Brain Death?

In Reply.— We appreciate the helpful comments of Dr Morray et al. We do not disagree that a diagnosis of brain death by an experienced and skillful physician can establish brain death without use of further laboratory studies. We also recognize the need for rapidity in the salvage of potential organs for transplantation. However, it is spurious for a physician to believe that by terminating respirator maintenance in clinically brain dead children who subsequently die, one has achieved 100% accuracy in predetermining nonviability.