| Brainstem death testing in the UK--time for reappraisal? | |
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MedLine Citation:
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PMID: 15033886 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: A diagnosis of brainstem death in the UK is based on clinical assessment rather than technical investigations, but is considered rigorous enough to be legally synonymous with death. METHODS: A questionnaire in five sections concerning clinician details, initiation of support, criteria for testing, conduct of the tests, and the process of organ donation, was sent to all members of the Neuroanaesthesia Society. RESULTS: The survey reveals evidence of failure to apply existing guidelines accurately and a wide variation in practice where the recommendations are not specific. CONCLUSIONS: In an era of scrutiny of medical process, it is timely to consider whether the current guidelines should be revisited. Clarification of the approach to biochemical derangement, and the role of confirmatory tests when the residual effect of sedative agents cannot be excluded, are two areas worthy of debate. |
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Authors:
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M D D Bell; E Moss; P G Murphy |
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Publication Detail:
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Type: Journal Article; Multicenter Study Date: 2004-03-19 |
Journal Detail:
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Title: British journal of anaesthesia Volume: 92 ISSN: 0007-0912 ISO Abbreviation: Br J Anaesth Publication Date: 2004 May |
Date Detail:
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Created Date: 2004-04-28 Completed Date: 2004-05-27 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0372541 Medline TA: Br J Anaesth Country: England |
Other Details:
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Languages: eng Pagination: 633-40 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia and Intensive Care, The General Infirmary at Leeds, Great George Street, Leeds LS1 3EX, UK. dominic.bell@leedsth.nhs.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Brain Death
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diagnosis* Diagnostic Techniques, Neurological Great Britain Guideline Adherence / statistics & numerical data Health Care Surveys Humans Practice Guidelines as Topic Professional Practice / statistics & numerical data* Questionnaires* Respiration, Artificial / utilization Tissue and Organ Procurement |
| Comments/Corrections | |
Comment In:
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Br J Anaesth. 2004 May;92(5):625-8
[PMID:
15113762
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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