TABLE 2.
Proposed definitions related to death by neurologic criteria
Proposed actualized definition | Conceptual model correlate | |
---|---|---|
Flow | Movement of blood detected by opacification of major brain* vessels (arteries and veins) in blood flow studies | Is there water in the hose? |
Perfusion | Capillary-level flow in the target tissue (in this case brain, specifically brainstem) | Is water reaching the plant? |
Function | Organized clinical brainstem neuronal function as manifest by consciousness and brainstem reflexes | Is the flower alive? |
*Brain is defined as the combination of the cerebrum and the brainstem.
Proposed actualized definitions of the concepts of brain blood flow, perfusion, and function in the light of our new conceptual model. These actualized definitions put the emphasis on the physiologic differences between the three concepts to avoid potential misinterpretation or misnaming.