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Consensus Opinion on Diagnosing Brain Death - Guidelines for use of Confirmatory Tests

Vida Demarin
Arijana Lovrenčić-Huzjan
Vesna Vargek-Solter
Vlasta Vuković
Snježana Miškov
Ivan Mikula
Mladen Perić
Aleksandar Gopčević
Zvonko Kusić
Antonija Balenović
Zoran Klanfar
Mirela Bušić

Puni tekst: engleski pdf 374 Kb


str. 65-79

preuzimanja: 952



Brain death is defined as the irreversible loss of all brain functions, including the brainstem. The diagnosis of brain death allows organ donation or withdrawal of support. Therefore the exact criteria for the diagnosis of brain death must be determined. In the Croatian Act on Transplantation, repeated neurologic examination must show loss of brainstem reflexes, and one confirmation test must be done. Several tests are available, showing the cessation of brain or brainstem activity, or confirming the cerebral circulatory arrest. Bedside evaluation is possible through electroencephysiologic and neurosonologic tests. Conventional or digital subtraction angiography is done in radiology suite, and isotope angiography and technetium-99m hexamethylpropyleneamine oxime (99Tc-HMPAO) at the Department of Nuclear Medicine. Such tests require special settings, therefore bedside test like electroencephalography, evoked potentials and neurosonology tests are preferred. All tests require trained personnel and strict protocols, which differ from routine investigations The confirmatory tests used in brain death confirmation, the techniques, criteria, results and validity of the tests are presented.

Ključne riječi

Brain Death - diagnosis; Brain Death - ultrasonography; Severity of illness; Predictive Value of Tests; Guidelines; Brain death - legislation and jurisprudence; Croatia

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Podaci na drugim jezicima: hrvatski

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