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Brief review: The role of ancillary tests in the neurological determination of death

Overview of attention for article published in Canadian Journal of Anesthesia/Journal canadien d'anesthésie, June 2006
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Title
Brief review: The role of ancillary tests in the neurological determination of death
Published in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie, June 2006
DOI 10.1007/bf03021855
Pubmed ID
Authors

G. Bryan Young, Sam D. Shemie, Christopher James Doig, Jeannie Teitelbaum

Abstract

The acceptance of brain death by society has allowed for the discontinuation of "life support" and the transplantation of organs. In Canada we accept the clinical criteria for brain death (essentially brain stem death) when they can be legitimately applied. Ancillary tests are needed when these clinical criteria cannot be applied or when there are confounders. Ancillary tests include tests of intracranial blood circulation, electrophysiological tests, metabolic studies and tests for residual vagus nerve function. The ideal confirmatory test is one which, when positive, would be incompatible with recoverable brain function (i.e., has no false positives), is not influenced by drugs or metabolic disturbances and which can be readily applied. A critical review of the various ancillary tests used to support the neurological determination of death (brain death) was undertaken.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 70 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 3 4%
Colombia 1 1%
India 1 1%
United States 1 1%
Unknown 64 91%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 14 20%
Other 11 16%
Professor > Associate Professor 11 16%
Researcher 9 13%
Student > Bachelor 6 9%
Other 13 19%
Unknown 6 9%
Readers by discipline Count As %
Medicine and Dentistry 45 64%
Neuroscience 9 13%
Decision Sciences 1 1%
Business, Management and Accounting 1 1%
Physics and Astronomy 1 1%
Other 1 1%
Unknown 12 17%