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Organs from anencephalic infants: an idea whose time has not yet come.


 The application of vigorous life support to anencephalic infants in anticipation of whole brain death and subsequent organ removal leaves unresolved theoretical and empirical questions about the occurrence of brain death in ventilated anencephalic infants and raises concerns about administering intensive care to a living patient for the sole benefit of others. Attempts to resolve these questions by reconsidering the accepted definition of death as requiring death of the whole brain or by advocating the statutory creation of a new category of "brain absent" to identify anencephalic infants or by abandoning the dead donor rule are rejected in favor of a moratorium on transplantation involving anencephalic infants while we gather facts, debate the issues, and develop consensus.
