Brainstem death

IF 0.2 Q4 ANESTHESIOLOGY

Anaesthesia and Intensive Care Medicine Pub Date : 2024-06-01 DOI:10.1016/j.mpaic.2024.03.015

Richard Cowan, Barbara Miles

引用次数: 0

Abstract

The concept of brain and brainstem death developed from the observation of apnoeic comatose patients. In the UK, the diagnosis of brainstem death is made by clinically testing brainstem function once specific pre-conditions have been met. The exact definition of brain death and some details regarding the tests required to make this diagnosis vary across the globe. However, the majority of tests carried out are similar to those in the UK. In this review we define brainstem death and the clinical tests used to confirm it. The use of ancillary testing can have a role in patients where clinical tests are not possible and this is also discussed.

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脑干死亡

脑死亡和脑干死亡的概念是在对呼吸暂停昏迷患者的观察中形成的。在英国，脑干死亡的诊断是在满足特定前提条件后，通过临床检测脑干功能而做出的。全球各地对脑死亡的确切定义以及做出这一诊断所需的检测细节各不相同。不过，大多数测试都与英国的测试类似。在本综述中，我们将对脑干死亡和用于确认脑干死亡的临床检验进行定义。在无法进行临床检验的患者中，辅助检验可以发挥作用，本文也将对此进行讨论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anaesthesia and Intensive Care Medicine ANESTHESIOLOGY-

CiteScore

0.50

自引率

0.00%

发文量

152

期刊介绍： Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.