Guidelines for the management of a brain death donor in the rhesus macaque: A translational transplant model.

INTRODUCTION: The development of a translatable brain death animal model has significant potential to advance not only transplant research, but also the understanding of the pathophysiologic changes that occur in brain death and severe traumatic brain injury. The aim of this paper is to describe a rhesus macaque model of brain death designed to simulate the average time and medical management described in the human literature. METHODS: Following approval by the Institutional Animal Care and Use Committee, a brain death model was developed. Non-human primates were monitored and maintained for 20 hours after brain death induction. Vasoactive agents and fluid boluses were administered to maintain hemodynamic stability. Endocrine derangements, particularly diabetes insipidus, were aggressively managed. RESULTS: A total of 9 rhesus macaque animals were included in the study. The expected hemodynamic instability of brain death in a rostral to caudal fashion was documented in terms of blood pressure and heart rate changes. During the maintenance phase of brain death, the animal's temperature and hemodynamics were maintained with goals of mean arterial pressure greater than 60mmHg and heart rate within 20 beats per minute of baseline. Resuscitation protocols are described so that future investigators may reproduce this model. CONCLUSION: We have developed a reproducible large animal primate model of brain death which simulates clinical scenarios and treatment. Our model offers the opportunity for researchers to have translational model to test the efficacy of therapeutic strategies prior to human clinical trials.

A review of the criteria used to assess insensibility and death in hunted whales compared to other species.

This review addresses the diagnosis of insensibility and death in various species so as to evaluate the validity of the current criteria used to judge death in hunted whales by the International Whaling Commission (IWC). The only other species in which official criteria of death have been formulated is humans and these are controversial with the kernel of the debate being the definition of brain death. In slaughter animals, the moment of insensibility is regarded as the most important criterion and the issue has received scientific interest related to the pre-slaughter stunning. During hunting of terrestrial wildlife, the moment of death is usually regarded as the moment the animal falls and does not move. Based on the data presented in the present paper, it is concluded that when death in whales is solely determined on the basis of the IWC criteria, which in practice are based on immobility, a significant proportion of animals will be recorded as being sensible and alive when they are actually unconscious and the time to death (TTD) will be overestimated. If the criteria are used in conjunction with a postmortem examination, the recorded TTD will be closer to the real TTD and can be used for comparison of methods and performance.