Inconsistencies Between the Criterion and Tests for Brain Death.
Détails
ID Serval
serval:BIB_BF398CF268A9
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Inconsistencies Between the Criterion and Tests for Brain Death.
Périodique
Journal of intensive care medicine
ISSN
1525-1489 (Electronic)
ISSN-L
0885-0666
Statut éditorial
Publié
Date de publication
08/2020
Peer-reviewed
Oui
Volume
35
Numéro
8
Pages
772-780
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
The whole-brain criterion of death provides that a person who has irreversibly lost all clinical functions of the brain is dead. Bedside brain death (BD) tests permit physicians to determine BD by showing that the whole-brain criterion of death has been fulfilled. In a nonsystematic literature review, we identified and analyzed case reports of a mismatch between the whole-brain criterion of death and bedside BD tests. We found examples of patients diagnosed as BD who showed (1) neurologic signs compatible with retained brain functions, (2) neurologic signs of uncertain origin, and (3) an inconsistency between standard BD tests and ancillary tests for BD. Two actions can resolve the mismatch between the whole-brain criterion of death and BD tests: (1) loosen the whole-brain criterion of death by requiring only the irreversible cessation of relevant brain functions and (2) tighten BD tests by requiring an ancillary test proving the cessation of intracranial blood flow. Because no one knows the precise brain functions whose loss is necessary to fulfill the whole-brain criterion of death, we advocate tightening BD tests by requiring the absence of intracranial blood flow.
Mots-clé
brain death, brain death tests, brain functions, criterion for brain death
Pubmed
Web of science
Création de la notice
13/11/2018 16:06
Dernière modification de la notice
28/07/2020 5:21