Diagnosis of death using neurological criteria in adult patients on extracorporeal membrane oxygenation: Development of UK guidance

Autor:	Alain Vuylsteke, M Toolan, Marlies Ostermann, Dale Gardiner, Andrew Slack, S Ledot, C. Meadows, J Barker, Luigi Camporota, S Webb, Ian Scott, Nicholas A Barrett, S Newman, Chris Harvey
Rok vydání:	2019
Předmět:	medicine.medical_specialty Adult patients business.industry medicine.medical_treatment Extracorporeal membrane oxygenation medicine Guideline development Original Articles Critical Care and Intensive Care Medicine Critical Care Nursing business Intensive care medicine Respiratory support
Zdroj:	Journal of the Intensive Care Society. 21:28-32
ISSN:	1751-1437
DOI:	10.1177/1751143719832170
Popis:	The diagnosis of death using neurological criteria is an important legal method of establishing death in the UK. The safety of the diagnosis lies in the exclusion of conditions which may mask the diagnosis and the testing of the fundamental reflexes of the brainstem including the apnoea reflex. Extracorporeal membrane oxygenation for cardiac or respiratory support can impact upon these tests, both through drug sequestration in the circuit and also through the ability to undertake the apnoea test. Until recently, there has been no nationally accepted guidance regarding the conduct of the tests to undertake the diagnosis of death using neurological criteria for a patient on extracorporeal membrane oxygenation. This article considers both the background to and the process of guideline development.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d23c01d04a97fb1407bc588667d98c46 https://doi.org/10.1177/1751143719832170 Zobrazit plný text záznamu