Mohod Vaishali, Kondwilkar Bharati, Jadoun Rohit
Department of Anaesthesiology and Critical Care, Grant Medical College and Sir J J Group of Hospital, Mumbai, Maharashtra, India.
Indian J Anaesth. 2017 Dec;61(12):957-963. doi: 10.4103/ija.IJA_430_17.
Brain death is defined as irreversible and complete cessation of all brain function including that of the brainstem. The aim of this study was to assess the level of knowledge and awareness about brain-death declaration among resident doctors.
This was an observational questionnaire-based study conducted in single institute in which 112 junior residents and 46 senior resident doctors in various medical specialities were included by universal sampling method. A prevalidated questionnaire consisting of questions related to knowledge, attitude and performance of brain-death declaration were distributed among residents as per the inclusion criteria to fill in the time limit of 30 min. Statistical tools used were mean and standard deviation, proportion and Chi-square test.
A total 87 resident doctors consisting of 71.26% males and 28.73% females responded to the questionnaire. About 91.95% correctly defined it as complete cessation of brain activity including brainstem reflexes. Most of the resident doctors (80.45%) knew about the documentation of absence of brainstem reflexes at 6 h intervals and 64.36% were aware about positive apnoea test. When asked about whether there is legal sanction for disconnecting life support in India, 56.32% said no, and 43.67% said yes. Only 12.64% of resident doctors were aware about a panel of 4 physicians are mandatory to declare brain death in India.
Awareness and attitude towards the identification of brain death and possible deceased donor organ transplantation were lacking amongst resident doctors.
脑死亡被定义为包括脑干功能在内的所有脑功能不可逆转且完全停止。本研究的目的是评估住院医生对脑死亡宣告的知识水平和认知程度。
这是一项在单一机构进行的基于观察性问卷的研究，采用普查抽样方法纳入了112名初级住院医生和46名各医学专科的高级住院医生。一份经过预验证的问卷，包含与脑死亡宣告的知识、态度和行为相关的问题，按照纳入标准分发给住院医生，要求他们在30分钟的时间限制内填写。使用的统计工具包括均值和标准差、比例以及卡方检验。
共有87名住院医生回复了问卷，其中男性占71.26%，女性占28.73%。约91.95%的人正确地将其定义为包括脑干反射在内的脑活动完全停止。大多数住院医生（80.45%）知道每隔6小时记录脑干反射缺失的情况，64.36%的人了解阳性的无呼吸试验。当被问及在印度断开生命支持是否有法律制裁时，56.32%的人回答否，43.67%的人回答是。只有12.64%的住院医生知道在印度宣告脑死亡必须由4名医生组成的小组进行。
住院医生对脑死亡的识别以及可能的已故供体器官移植缺乏认知和正确态度。
