Inconsistencies Between the Criterion and Tests for Brain Death.

Details

Serval ID
serval:BIB_BF398CF268A9
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Inconsistencies Between the Criterion and Tests for Brain Death.
Journal
Journal of intensive care medicine
Author(s)
Dalle Ave A.L., Bernat J.L.
ISSN
1525-1489 (Electronic)
ISSN-L
0885-0666
Publication state
Published
Issued date
08/2020
Peer-reviewed
Oui
Volume
35
Number
8
Pages
772-780
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
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.
Keywords
brain death, brain death tests, brain functions, criterion for brain death
Pubmed
Web of science
Create date
13/11/2018 17:06
Last modification date
28/07/2020 6:21
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