ABC of brain stem death. Diagnosis of brain stem death--I.

Author:

Pallis C

Publisher

BMJ

Subject

General Earth and Planetary Sciences,General Environmental Science,General Engineering

Reference6 articles.

1. Brain death in Britain as reflected in renal donors;Jennett, B.; Hessett, C.;Br MedJ7

2. rd ed. Philadelphia: F A Davis, 1980.

3. Prognosis in nontraumatic coma;Levy, D.E.; Bates, D.; Caronna, J.J.;Ann Intern Med; Cerebral prognostic signs during cardiopulmonary resuscitation,1981

4. Natural history of global and critical brain ischaemia. Part II: EEG and neurological signs in patients remaining unconscious after resuscitation;J0rgensen, E.O.; Malchow-M0oler, A.;Resuscitation,1981

5. After a head injury immediate apnoea may develop. Most such patients die but occasionally artificial respiration is given at the scene of the accident. The patient may then recover spontaneous breathing for a few minutes. If apnoea develops after admission to the ward (secondary apnoea) the patient will usually be put on a ventilator, while vigorous measures are taken to overcome the effects of hypoxia, shock, or cerebral oedema. Time must be allowed for these measures to take effect and for a raised blood alcohol concentration (if present) to subside below coma-producing concentrations. It takes several hours to ensure that the responsible lesion is "irremediable." Testing for possible brain stem death in such cases is best deferred for at least six to 12 hours

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