Martin Susan D, Porter Melissa B
Division of Pediatric Critical Care, Department of Pediatrics, University of Louisville School of Medicine, Louisville, Kentucky, United States.
J Pediatr Intensive Care. 2017 Dec;6(4):229-233. doi: 10.1055/s-0037-1604013. Epub 2017 Jun 27.
Declaration of brain death is a clinical diagnosis made by the absence of neurological function in a comatose patient secondary to a known irreversible cause. Brain death determination is not an infrequent process in pediatric intensive care units. It is important that pediatric intensive care providers understand the definition of brain death and intensivists are able to implement brain death testing. The following is a narration detailing the process of brain death determination by physical examination. First, the prerequisites that determine patients' eligibility for brain death testing will be outlined. Next, each part of the physical exam, including the apnea test, will be described in detail. Finally, how the declaration of brain death is made is stated. In addition, special considerations and ancillary testing will be briefly highlighted.
脑死亡的判定是对因已知不可逆病因导致昏迷的患者，基于其神经功能缺失所做出的临床诊断。在儿科重症监护病房，脑死亡判定并非罕见的过程。儿科重症监护医护人员理解脑死亡的定义且重症医学专家能够实施脑死亡检测非常重要。以下是详细叙述通过体格检查判定脑死亡的过程。首先，将概述确定患者是否适合进行脑死亡检测的先决条件。接下来，将详细描述体格检查的每个部分，包括呼吸暂停试验。最后，说明如何做出脑死亡判定。此外，还将简要强调特殊注意事项和辅助检查。
