Approach to Death from Asphyxia

Because the CNS is most sensitive to asphyxia, it is not uncommon to see full cardiovascular recovery in conjunction with profound CNS damage or even brain death. In situations in which meaningful neurologic recovery is hopeless or when brain death has occurred, life support may have to be terminated. Parents who have lost a child in such a manner need a great deal of support, counseling, and understanding. Parents often react with guilt, denial, or hostility once confronted with the unexpected loss. Particularly in the case of SIDS, parents may react with guilt for not having been more vigilant. These issues must be addressed directly by trained professionals.