Janzen R W C, Lambeck J, Niesen W-D, Erbguth F
Klinik für Neurologie und Neurophysiologie, Universitätsklinikum Freiburg, Breisacher Str. 64, 79106, Freiburg, Deutschland.
Klinik für Neurologie, Universitätsklinik der Paracelsus Medizinischen Privatuniversität, Klinikum Nürnberg, Nürnberg, Deutschland.
Nervenarzt. 2020 Aug;91(8):743-757. doi: 10.1007/s00115-020-00952-7.
A significant change in the fourth update of the German guidelines on determining brain death is that it includes an explicit profile of requirements on physicians involved in ILBF diagnosis. These requisite qualification criteria have also been formulated due to the fact that, in many hospitals, ILBF diagnosis is only rarely carried out and, as a result, uncertainty frequently arises. Typical difficulties emerge at all stages of ILBF diagnosis, and numerous relevant pitfalls arise that need to be taken into consideration and which might also be relevant in the selection of the method(s) to detect irreversibility. The approaches presented here are suited to achieving a valid result in the evaluation of equivocal ILBF.
德国脑死亡判定指南第四次更新的一个重大变化是，它明确列出了对参与脑血流停止（ILBF）诊断的医生的要求。制定这些必要的资格标准也是因为，在许多医院，脑血流停止诊断很少进行，因此经常出现不确定性。在脑血流停止诊断的各个阶段都会出现典型的困难，并且会出现许多相关的陷阱，这些都需要考虑，而且在选择检测不可逆性的方法时也可能相关。这里提出的方法适用于在评估不明确的脑血流停止时获得有效的结果。
