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
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% |