Abstract
Brain death is a clinical diagnosis with a irreversible absence of cerebral and brain stem functions. In all cases the confirmatory tests are not mandatory but a repeat evaluation is generally recommended. The diagnosis and confirmation largely remains a complex clinical,ethical and social issue for physicians,family members and society at a large.The concept of the "dead-donar rule" closely linked to the increasing need for organ transplantation has created conflicts of interests between the demand for organs and the need for a scientifically and philosophically valid definition of human death.Finally,physicians are entrusted to apply accepted standards and practices while making the diagnosis and confirmation of brain death and should exhibit patience and provide emotional support to the family
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